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VIJAY VAKHARIA MD PA

Company Details

Entity Name: VIJAY VAKHARIA MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 30 May 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Oct 2010 (14 years ago)
Document Number: P03000059542
FEI/EIN Number 30-0182751
Address: 201 SW 84 AVENUE, PLANTATION, FL 33324
Mail Address: 201 SW 84 AVENUE, PLANTATION, FL 33324
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588987606 2010-03-03 2014-01-03 201 SW 84TH AVE, PLANTATION, FL, 333242708, US 201 SW 84TH AVE, PLANTATION, FL, 333242708, US

Contacts

Phone +1 954-747-7373
Fax 9547419074

Authorized person

Name VIJAY VAKHARIA
Role PRESIDENT
Phone 9547477373

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary No

Agent

Name Role Address
VAKHARIA, VIJAY Agent 3365 BRIDLE PATH LANE, FT. LAUDERDALE, FL 33331

President

Name Role Address
VAKHARIA, VIJAY President 3365 BRIDLE PATH LANE, FT. LAUDERDALE, FL 33331

Director

Name Role Address
VAKHARIA, VIJAY Director 3365 BRIDLE PATH LANE, FT. LAUDERDALE, FL 33331

Events

Event Type Filed Date Value Description
REINSTATEMENT 2010-10-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-10-21 201 SW 84 AVENUE, PLANTATION, FL 33324 No data
CHANGE OF MAILING ADDRESS 2010-10-21 201 SW 84 AVENUE, PLANTATION, FL 33324 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CANCEL ADM DISS/REV 2004-10-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-23
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-10

Date of last update: 06 Jan 2025

Sources: Florida Department of State