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MATHURA MEDICAL GROUP INC. - Florida Company Profile

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

National Provider Identifier

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

Contacts

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

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

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

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2648978 MATHURA MEDICAL GROUP INC - TG88J8R4VMP9 110 POND CT STE 203, DEBARY, FL, 32713-2717
Capabilities Statement Link -
Phone Number 917-373-9656
Fax Number -
E-mail Address shiva.mathura@mathuramedical.com
WWW Page www.mathuramedical.com
E-Commerce Website -
Contact Person SHIVA MATHURA
County Code (3 digit) 127
Congressional District 07
Metropolitan Statistical Area 2020
CAGE Code 957C6
Year Established 2021
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications Other Minority Owned, Self-Certified Small Disadvantaged Business, Subcontinent Asian American, Veteran
Business Development Servicing Office NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 621111
NAICS Code's Description Offices of Physicians (except Mental Health Specialists)
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 03 Apr 2025

Sources: Florida Department of State