| Entity Name: | SANATIVE MEDICAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jan 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L14000015449 |
| FEI/EIN Number | 46-4654561 |
| Address: | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813, US |
| Mail Address: | P.O. Box 7194, LAKELAND, FL, 33807-7194, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982014031 | 2014-04-29 | 2014-04-29 | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 338131639, US | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 338131639, US | |||||||||||||
|
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| Phone | +1 863-816-5884 |
Authorized person
| Name | RENGIT PHILIP |
| Role | MANAGER |
| Phone | 8138165884 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SANATIVE MEDICAL GROUP, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| SHAH VIPUL RM.D. | Manager | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813 |
| SHER GULAB M.D. | Manager | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813 |
| IBRAHIM MOHAMMED M.D. | Manager | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813 |
| PHILIP RENGIT M.D. | Manager | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813 |
| SHAIKH RABIA M.D. | Manager | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000010075 | HOSPITALISTS OF HAINES CITY | EXPIRED | 2014-01-29 | 2019-12-31 | No data | 4315 HIGHLAND PARK BOULEVARD, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-06 | 4315 HIGHLAND PARK BOULEVARD, Suite A, LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-06 | 4315 HIGHLAND PARK BOULEVARD, Suite A, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-06 | Sanative Medical Group, PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-06 | 4315 Highland Park Blvd, Ste A, Lakeland, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-09 |
| AMENDED ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-03-19 |
| Florida Limited Liability | 2014-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
