| Entity Name: | DHIRAJ WARMAN, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Sep 2000 (24 years ago) |
| Document Number: | P00000087774 |
| FEI/EIN Number | 593668869 |
| Mail Address: | 17630 ARCHLAND PASS RD, LUTZ, FL, 33558 |
| Address: | 10441 QUALITY DR., STE 300, SPRING HILL, FL, 34609 |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861713018 | 2010-06-22 | 2011-07-08 | PO BOX 340609, TAMPA, FL, 336940609, US | 10441 QUALITY DR STE 300, SPRING HILL, FL, 346099650, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-683-3136 |
| Fax | 3526833160 |
Authorized person
| Name | DR. DHIRAJ WARMAN |
| Role | PHYSICIAN/OWNER |
| Phone | 3526833136 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN14394 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME68576 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DENTIST |
| Number | DN14394 |
| State | FL |
| Issuer | MEDICAID |
| Number | 260742500 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | ME68576 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR. WARMAN 401(K) PLAN | 2022 | 593668869 | 2024-02-07 | DHIRAJ WARMAN, MD, PA | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-02-07 |
| Name of individual signing | DHIRAJ WARMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WARMAN DHIRAJ | Agent | 17630 ARCHLAND PASS RD., LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| WARMAN DHIRAJ | President | 17630 ARCHLAND PASS RD., LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| WARMAN DHIRAJ | Secretary | 17630 ARCHLAND PASS RD., LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| WARMAN DHIRAJ | Treasurer | 17630 ARCHLAND PASS RD., LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-01 | 10441 QUALITY DR., STE 300, SPRING HILL, FL 34609 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-01 | 10441 QUALITY DR., STE 300, SPRING HILL, FL 34609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-04-17 | 17630 ARCHLAND PASS RD., LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
