| Entity Name: | MUNI V. PADMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Dec 1983 (41 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | G73104 |
| FEI/EIN Number | 59-2345031 |
| Address: | MUNI V. PADMAN, M.D., 601 E DIXIE AVE PLAZA 101, LEESBURG, FL 34748-7301 |
| Mail Address: | 1950 LAUREL MANOR DR, BLD 200, SUITE 206, THE VILLAGES, FL 32162 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417348699 | 2015-02-10 | 2015-02-10 | 601 E DIXIE AVE, PLAZA 101, LEESBURG, FL, 347485953, US | 601 E DIXIE AVE, PLAZA 101, LEESBURG, FL, 347485953, US | |||||||||||||||||||||||||
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| Phone | +1 352-326-8081 |
| Fax | 3523265084 |
Authorized person
| Name | DR. MUNI V PADMAN |
| Role | DR / OWNER |
| Phone | 3523268081 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | ME39071 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 06790200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PADMAN, MUNI V | Agent | 601 EAST DIXIE AVE PL 101, LEESBURG, FL 34748 |
| Name | Role | Address |
|---|---|---|
| PADMAN, MUNI V. | Manager | 601 EAST DIXIE AVE PL 101, LEESBURG, FL 34748 |
| Name | Role | Address |
|---|---|---|
| PADMAN, MUNI V. | Director | 601 EAST DIXIE AVE PL 101, LEESBURG, FL 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-17 | MUNI V. PADMAN, M.D., 601 E DIXIE AVE PLAZA 101, LEESBURG, FL 34748-7301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-11-30 | MUNI V. PADMAN, M.D., 601 E DIXIE AVE PLAZA 101, LEESBURG, FL 34748-7301 | No data |
| REINSTATEMENT | 2011-11-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-09-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-02-24 | 601 EAST DIXIE AVE PL 101, LEESBURG, FL 34748 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-02-24 | PADMAN, MUNI V | No data |
| REINSTATEMENT | 1984-12-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-05 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-03-07 |
| REINSTATEMENT | 2011-11-30 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
