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MARK M.S. KHILNANI, MD, CO. - Florida Company Profile

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Company Details

Entity Name: MARK M.S. KHILNANI, MD, CO.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 16 Nov 2020 (5 years ago)
Branch of: MARK M.S. KHILNANI, MD, CO., NEW YORK (Company Number 3217240)
Document Number: F20000005142
FEI/EIN Number 203049940
Address: 1100 SW Tamarind Way, BOCA RATON, FL, 33486, US
Mail Address: 1100 SW Tamarind, BOCA RATON, FL, 33486, US
ZIP code: 33486
City: Boca Raton
County: Palm Beach
Place of Formation: NEW YORK

Key Officers & Management

Name Role Address
KHILNANI MARK M.S. President 1100 SW TAMARIND WAY, BOCA RATON, FL, 33486
KHILNANI MARK M.S. Agent 1100 SW Tamarind Way, BOCA RATON, FL, 33486

National Provider Identifier

NPI Number:
1841999646
Certification Date:
2023-02-22

Authorized Person:

Name:
MARK M S KHILNANI
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9543773042

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000131177 BOCA MOBILE MED ACTIVE 2022-10-20 2027-12-31 - 160 W CAMINO REAL #227, BOCA RATON, FL, 33432
G22000095734 BOCA MOBILE MED ACTIVE 2022-08-13 2027-12-31 - 1100 SW TAMARIND WAY, BOCA RATON, FL, 33486

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-08-13 1100 SW Tamarind Way, BOCA RATON, FL 33486 -
REGISTERED AGENT ADDRESS CHANGED 2022-08-13 1100 SW Tamarind Way, BOCA RATON, FL 33486 -
CHANGE OF PRINCIPAL ADDRESS 2021-07-30 1100 SW Tamarind Way, BOCA RATON, FL 33486 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-08-13
ANNUAL REPORT 2021-04-30
Foreign Profit 2020-11-16

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Date of last update: 01 Jul 2025

Sources: Florida Department of State