| Entity Name: | P. NATARAJAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Sep 2003 (21 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P03000100219 |
| FEI/EIN Number | 200221291 |
| Address: | 1921 WALDEMERE ST., SUITE 301, SARASOTA, FL, 34239 |
| Mail Address: | 1921 WALDEMERE ST., SUITE 301, SARASOTA, FL, 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992853493 | 2007-01-08 | 2008-05-30 | 1921 WALDEMERE ST, STE 301, SARASOTA, FL, 342392943, US | 1921 WALDEMERE ST, STE 301, SARASOTA, FL, 342392943, US | |||||||||||||||||||||||||
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| Phone | +1 941-917-8666 |
| Fax | 9419178829 |
Authorized person
| Name | PONNUSWAMY NATARAJAN |
| Role | OWNER |
| Phone | 9419178666 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME27049 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 059253600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAAFFE MICHAEL S | Agent | 240 S. PINEAPPLE AVENUE, 10TH FLOOR, SARASOTA, FL, 34242 |
| Name | Role | Address |
|---|---|---|
| P NATARAJAN M | Director | 7321 MIDNIGHT PASS ROAD, SARASOTA, FL, 34242 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-10-23 | 1921 WALDEMERE ST., SUITE 301, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2003-10-23 | 1921 WALDEMERE ST., SUITE 301, SARASOTA, FL 34239 | No data |
| AMENDMENT | 2003-10-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-07-17 |
| ANNUAL REPORT | 2006-05-08 |
| ANNUAL REPORT | 2005-02-02 |
| ANNUAL REPORT | 2004-05-19 |
| Amendment | 2003-10-02 |
| Domestic Profit | 2003-09-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
