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THE PHYSICIANS GROUP PRACTICE, LLC

Company Details

Entity Name: THE PHYSICIANS GROUP PRACTICE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 09 Sep 2016 (8 years ago)
Date of dissolution: 17 Feb 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Feb 2017 (8 years ago)
Document Number: L16000168324
FEI/EIN Number 81-3914666
Address: 3915 BISCAYNE BLVD., 301, MIAMI, FL, 33137, US
Mail Address: 3915 BISCAYNE BLVD., 301, MIAMI, FL, 33137, US
ZIP code: 33137
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457809253 2016-09-21 2016-09-21 3915 BISCAYNE BLVD, SUITE 301, MIAMI, FL, 331373779, US 3915 BISCAYNE BLVD, SUITE 301, MIAMI, FL, 331373779, US

Contacts

Phone +1 954-579-3916
Fax 9542393902

Authorized person

Name AMOL MALANKAR
Role MEDICAL DIRECTOR
Phone 9545793916

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS12758
State FL
Is Primary Yes

Agent

Name Role Address
MALANKAR AMOL Agent 3915 BISCAYNE BLVD., MIAMI, FL, 33137

Auth

Name Role Address
Malankar Amol Auth 3915 BISCAYNE BLVD., MIAMI, FL, 33137

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-02-17 No data No data
LC STMNT CORR/NC 2016-09-22 THE PHYSICIANS GROUP PRACTICE, LLC No data

Documents

Name Date
Reg. Agent Resignation 2017-03-14
VOLUNTARY DISSOLUTION 2017-02-17
AMENDED ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2017-02-07
CORLCSTCNC 2016-09-22
Florida Limited Liability 2016-09-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State