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FANA MEDICAL GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: FANA MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FANA MEDICAL GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 19 Aug 2005 (20 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P05000116131
FEI/EIN Number 203345963

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 9183 Waterash Lane N, Pinellas Park, FL, 33782, US
Address: 5798 38TH AVE N, ST PETERSBURG, FL, 33710
ZIP code: 33710
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FANA MIGUEL A Director 9183 Waterash Lane N, PINELLAS PARK, FL, 33782
FANA MIGUEL A Agent 5798 38TH AVE N, ST PETERSBURG, FL, 33710

National Provider Identifier

NPI Number:
1801865357

Authorized Person:

Name:
MIGUEL ANTONIO FANA
Role:
MEDICAL DIRECTOR & OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7273841500

Form 5500 Series

Employer Identification Number (EIN):
203345963
Plan Year:
2020
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
25
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
CHANGE OF MAILING ADDRESS 2015-03-15 5798 38TH AVE N, ST PETERSBURG, FL 33710 -
CHANGE OF PRINCIPAL ADDRESS 2011-02-22 5798 38TH AVE N, ST PETERSBURG, FL 33710 -
REGISTERED AGENT ADDRESS CHANGED 2011-02-22 5798 38TH AVE N, ST PETERSBURG, FL 33710 -
AMENDMENT 2005-12-01 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000701205 LAPSED 2015-003926-CI 6TH JUD CIR PINELLAS COUNTY,FL 2016-10-14 2021-11-04 $3,166,756.89 CENTENNIAL BANK, 2932 CRAWFORDVILLE HIGHWAY, CRAWFORDVILLE, FL 32327

Documents

Name Date
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-03-15
ANNUAL REPORT 2014-04-10
ANNUAL REPORT 2013-02-06
ANNUAL REPORT 2012-02-21
ANNUAL REPORT 2011-02-22
ANNUAL REPORT 2010-04-29
ANNUAL REPORT 2009-03-11
ANNUAL REPORT 2008-02-08

Trademarks

Serial Number:
85145211
Mark:
FAÑA MEDICAL GROUP
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
2010-10-05
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
FAÑA MEDICAL GROUP

Goods And Services

For:
Medical testing for diagnostic or treatment purposes; Consulting services in the field of medical care; Dermatology services; Health care services; Medical and pharmaceutical consultation; Medical assistance services; Medical clinics; Medical diagnostic testing, monitoring and reporting services; Me...
First Use:
2005-10-03
International Classes:
044 - Primary Class
Class Status:
Sec. 8 – Entire Registration
For:
Medical laboratory services
First Use:
2005-10-03
International Classes:
042 - Primary Class
Class Status:
Sec. 8 – Entire Registration

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Date of last update: 01 Jul 2025

Sources: Florida Department of State