| Entity Name: | PHYSICIANS ALLIANCE CORP OF BREVARD |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Feb 2005 (20 years ago) |
| Date of dissolution: | 23 Mar 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Mar 2016 (9 years ago) |
| Document Number: | P05000023542 |
| FEI/EIN Number | 522452054 |
| Address: | 220 NORTH WESTMONTE DRIVE, SUITE B, ALTAMONTE SPRINGS, FL, 32714, US |
| Mail Address: | 220 NORTH WESTMONTE DRIVE, SUITE B, ALTAMONTE SPRINGS, FL, 32714, US |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134396393 | 2008-05-15 | 2008-05-15 | 220 N WESTMONTE DR, SUITE B, ALTAMONTE SPRINGS, FL, 327143310, US | 220 N WESTMONTE DR, SUITE B, ALTAMONTE SPRINGS, FL, 327143310, US | |||||||||||||||
|
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| Phone | +1 407-862-4500 |
| Fax | 4078624500 |
Authorized person
| Name | DR. VRAJ PANARA |
| Role | PRESIDENT |
| Phone | 4078624500 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANARA VRAJ | Agent | 220 NORTH WESTMONTE DRIVE, ALTAMONTE SPRINGS, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| PANARA VRAJ | President | 220 NORTH WESTMONTE DRIVE SUITE B, ALTAMONTE SPRINGS, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| CHOKSHI DIGESH | Vice President | 1002 SOUTH DILLARD STREET SUITE 122, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-23 |
| ANNUAL REPORT | 2015-01-28 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-03-23 |
| ANNUAL REPORT | 2012-01-08 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-01-19 |
| ANNUAL REPORT | 2008-02-12 |
| ANNUAL REPORT | 2007-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
