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VIRTUAL PHYSICIAN SERVICES, CORP

Company Details

Entity Name: VIRTUAL PHYSICIAN SERVICES, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 23 Apr 2020 (5 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: N20000004392
FEI/EIN Number 85-1063202
Address: 11373 CORTEZ BLVD,, 401, BROOKSVILLE, FL, 34613, US
Mail Address: 11373 CORTEZ BLVD,, 401, BROOKSVILLE, FL, 34613, US
ZIP code: 34613
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205437159 2020-11-06 2020-11-06 11373 CORTEZ BLVD STE 401, BROOKSVILLE, FL, 346135406, US 11373 CORTEZ BLVD STE 401, BROOKSVILLE, FL, 346135406, US

Contacts

Phone +1 989-671-7119

Authorized person

Name WAQAR MIAN
Role OWNER
Phone 9896717119

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
Mian Waqar AMBR Agent 11373 CORTEZ BLVD, BROOKSVILLE, FL, 34613

Authorized Member

Name Role Address
HUDSON ZACH Authorized Member 11373 CORTEZ BLVD, SUITE 401, BROOKSVILLE, FL, 34613
RUGG EARLE Authorized Member 11373 CORTEZ BLVD, SUITE 401, BROOKSVILLE, FL, 34613
Mian Waqar Q Authorized Member 11373 CORTEZ BLVD, BROOKSVILLE, FL, 34613

Director

Name Role Address
ZAKA AWAIS Director 11373 CORTEZ BLVD, SUITE 401, BROOKSVILLE, FL, 34613
JILANI ABU B Director 11373 CORTEZ BLVD, SUITE 401, BROOKSVILLE, FL, 34613

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2022-05-19 Mian, Waqar, AMBR No data
RESTATED ARTICLES 2020-12-07 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2022-05-19
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-27
Restated Articles 2020-12-07
Domestic Non-Profit 2020-04-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State