| Entity Name: | MEDICAL & INJURY CENTERS OF FLORIDA, P.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 06 Sep 2011 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | F11000003613 |
| FEI/EIN Number | 452883248 |
| Address: | 4809 N. Armenia Ave, Suite 210, Tampa, FL, 33603, US |
| Mail Address: | 3060 Peachtree St, Atlanta, GA, 30305, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629345681 | 2011-11-18 | 2012-05-02 | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 303544302, US | 5132 US HIGHWAY 19, 21ST CENTURY PAVILLION, NEW PORT RICHEY, FL, 346523942, US | |||||||||||||||||||||||
|
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| Phone | +1 770-938-2625 |
| Fax | 4045493393 |
| Phone | +1 727-807-7932 |
| Fax | 7278077939 |
Authorized person
| Name | DR. SHAILESH KOTHARI |
| Role | CEO |
| Phone | 7709382625 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mcmenamin Timothy | Agent | 5132 US Highway 19 North, New Port Richey, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| KOTHARI SHAILESH | Director | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| ARUNACHALAM KRISHNAN | Director | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| Name | Role | Address |
|---|---|---|
| KOTHARI SHAILESH | President | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| Name | Role | Address |
|---|---|---|
| KOTHARI SHAILESH | Secretary | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| Name | Role | Address |
|---|---|---|
| ARUNACHALAM KRISHNAN | Treasurer | 800 VIRGINIA AVENUE, SUITE 200, HAPEVILLE, GA, 30354 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000053019 | PRIMERA MEDICAL GROUP, INC | EXPIRED | 2014-06-02 | 2019-12-31 | No data | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G13000016519 | JACKSONVILLE MEDICAL CENTERS, LLC | EXPIRED | 2013-02-15 | 2018-12-31 | No data | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G13000005720 | WEST PASCO MEDICAL CENTER, LLC | EXPIRED | 2013-01-16 | 2018-12-31 | No data | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G12000091428 | GAINESVILLE MEDICAL CENTERS, LLC | EXPIRED | 2012-09-18 | 2017-12-31 | No data | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| G12000067146 | KISSIMEE PRIMARY CARE CENTER | EXPIRED | 2012-07-05 | 2017-12-31 | No data | 800 VIRGINIA AVE, SUITE 200, HAPEVILLE, GA, 30354 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-10 | 5132 US Highway 19 North, New Port Richey, FL 34652 | No data |
| CHANGE OF MAILING ADDRESS | 2016-07-05 | 4809 N. Armenia Ave, Suite 210, Tampa, FL 33603 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-07-05 | Mcmenamin, Timothy | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-06 | 4809 N. Armenia Ave, Suite 210, Tampa, FL 33603 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-07-05 |
| ANNUAL REPORT | 2015-01-06 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-02-21 |
| ANNUAL REPORT | 2012-03-12 |
| Foreign Profit | 2011-09-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
