Entity Name: | AMERICAN HEALTH MSO OF OCALA LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 18 Sep 2019 (5 years ago) |
Document Number: | L19000235595 |
FEI/EIN Number | 843125040 |
Address: | 2654 SW 32ND PLACE, OCALA, FL, 34471, US |
Mail Address: | 2654 SW 32ND PLACE, OCALA, FL, 34471, US |
ZIP code: | 34471 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1285265090 | 2020-01-30 | 2020-01-30 | 2654 SW 32ND PL STE 100, OCALA, FL, 344717847, US | 2654 SW 32ND PL STE 100, OCALA, FL, 344717847, US | |||||||||||||||
|
Phone | +1 352-854-7444 |
Fax | 3528736647 |
Authorized person
Name | JAYANTI J PANCHAL |
Role | CEO |
Phone | 3528547444 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
VARDHAN RENU | Agent | 360 CROWN OAK CENTRE DRIVE, LONGWOOD, FL, 32750 |
Name | Role | Address |
---|---|---|
PANCHAL JAYANTI | Manager | 2654 SW 32ND PLACE, OCALA, FL, 34471 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-02 |
ANNUAL REPORT | 2023-02-15 |
ANNUAL REPORT | 2022-02-12 |
ANNUAL REPORT | 2021-04-12 |
ANNUAL REPORT | 2020-06-07 |
Florida Limited Liability | 2019-09-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State