| Entity Name: | MATHURA MEDICAL GROUP INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| 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 | 86-3907911 |
| Address: | 110 Pond st, ste 203, Debary, FL 32713 |
| Mail Address: | 110 Pond st, ste 203, Debary, FL 32713 |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871160960 | 2021-06-07 | 2023-06-28 | 110 POND CT STE 203, DEBARY, FL, 327132717, US | 110 POND CT STE 203, DEBARY, FL, 327132717, US | |||||||||||||||
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| Phone | +1 386-259-4106 |
| Fax | 8665541654 |
Authorized person
| Name | DR. SHIVA A MATHURA |
| Role | OWNER |
| Phone | 3862594106 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATHURA, SHIVA | Agent | 307 E. 2ND ST, SANFORD, FL 32771 |
| Name | Role | Address |
|---|---|---|
| MATHURA, SHIVA | President | 110 Pond st, ste 203 Debary, FL 32713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-15 | 110 Pond st, ste 203, Debary, FL 32713 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-15 | 110 Pond st, ste 203, Debary, FL 32713 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-15 | 307 E. 2ND ST, SANFORD, FL 32771 | No data |
| AMENDMENT | 2022-02-04 | No data | No data |
| 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 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
