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MATHURA MEDICAL GROUP INC. - Florida Company Profile

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Company Details

Entity Name: MATHURA MEDICAL GROUP INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 May 2021 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 04 Feb 2022 (3 years ago)
Document Number: N21000005849
FEI/EIN Number 863907911

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 110 Pond st, ste 203, Debary, FL, 32713, US
Mail Address: 110 Pond st, ste 203, Debary, FL, 32713, US
ZIP code: 32713
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MATHURA SHIVA President 110 Pond st, Debary, FL, 32713
MATHURA SHIVA Agent 307 E. 2ND ST, SANFORD, FL, 32771

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Contact Person:
SHIVA MATHURA
Ownership and Self-Certifications:
Other Minority Owned, Self-Certified Small Disadvantaged Business, Subcontinent Asian American, Veteran
User ID:
P2648978

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
TG88J8R4VMP9
CAGE Code:
957C6
UEI Expiration Date:
2025-11-13

Business Information

Activation Date:
2024-11-20
Initial Registration Date:
2021-08-24

National Provider Identifier

NPI Number:
1871160960
Certification Date:
2023-06-28

Authorized Person:

Name:
DR. SHIVA A MATHURA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8665541654

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-15 110 Pond st, ste 203, Debary, FL 32713 -
CHANGE OF MAILING ADDRESS 2022-04-15 110 Pond st, ste 203, Debary, FL 32713 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-15 307 E. 2ND ST, SANFORD, FL 32771 -
AMENDMENT 2022-02-04 - -

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-04-15
Amendment 2022-02-04
Domestic Non-Profit 2021-05-18

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Date of last update: 03 Jul 2025

Sources: Florida Department of State