| Entity Name: | FORTIS MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Mar 2018 (7 years ago) |
| Date of dissolution: | 20 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Mar 2023 (2 years ago) |
| Document Number: | L18000059999 |
| FEI/EIN Number | 824855895 |
| Address: | 9542 Shepard Pl, Wellington, FL, 33414, US |
| Mail Address: | 9542 Shepard Pl, Wellington, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629568159 | 2018-05-10 | 2018-05-10 | 1803 PARK CENTER DR STE 103, ORLANDO, FL, 328356216, US | 1803 PARK CENTER DR STE 103, ORLANDO, FL, 328356216, US | |||||||||||||||||||
|
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| Phone | +1 407-286-1875 |
| Fax | 4073868000 |
Authorized person
| Name | MR. JAGMOHAN N VIROJA |
| Role | PRESIDENT |
| Phone | 4072861875 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME83974 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VIROJA JAGMOHAN MD | Agent | 9542 Shepard Pl, Wellington, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| viroja jagmohan MD | Manager | 9542 Shepard Pl, Wellington, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-22 | 9542 Shepard Pl, Wellington, FL 33414 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-22 | 9542 Shepard Pl, Wellington, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-22 | 9542 Shepard Pl, Wellington, FL 33414 | No data |
| REINSTATEMENT | 2020-01-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-16 | VIROJA, JAGMOHAN, MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-20 |
| AMENDED ANNUAL REPORT | 2020-07-22 |
| REINSTATEMENT | 2020-01-16 |
| Florida Limited Liability | 2018-03-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
