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MADHAVA T. PALLY, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MADHAVA T. PALLY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Sep 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Oct 2023 (2 years ago)
Document Number: P03000106024
FEI/EIN Number 830371056
Mail Address: 16528 N. DALE MABRY HIGHWAY, TAMPA, FL, 33618, US
Address: 13650 Fiddlesticks Blvd., SUITE 202-339, Fort Myers, FL, 33912, US
ZIP code: 33912
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PALLY MADHAVA T President 13650 Fiddlesticks Blvd, Fort Myers, FL, 33912
SANDERS BRIAN J Agent 16528 N. DALE MABRY HIGHWAY, TAMPA, FL, 33618

National Provider Identifier

NPI Number:
1942486774

Authorized Person:

Name:
DR. MADHAVA T. PALLY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
2393039551

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-10-10 SANDERS, BRIAN J -
REINSTATEMENT 2023-10-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2019-04-27 13650 Fiddlesticks Blvd., SUITE 202-339, Fort Myers, FL 33912 -
NAME CHANGE AMENDMENT 2016-08-31 MADHAVA T. PALLY, M.D., P.A. -
NAME CHANGE AMENDMENT 2016-05-20 ADVANCED HEART CENTER ASSOCIATES, INC. -
CHANGE OF MAILING ADDRESS 2010-04-01 13650 Fiddlesticks Blvd., SUITE 202-339, Fort Myers, FL 33912 -
REGISTERED AGENT ADDRESS CHANGED 2005-04-25 16528 N. DALE MABRY HIGHWAY, TAMPA, FL 33618 -

Documents

Name Date
ANNUAL REPORT 2024-04-17
REINSTATEMENT 2023-10-10
ANNUAL REPORT 2022-05-06
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-05-18
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-04-10
Name Change 2016-08-31
Name Change 2016-05-20

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Date of last update: 02 Aug 2025

Sources: Florida Department of State