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MED-PHENIX INC.

Company Details

Entity Name: MED-PHENIX INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Nov 2005 (19 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P05000146712
FEI/EIN Number 203720153
Address: 2154 DUCK SLOUGH BLVD, STE. 2, NEW PORT RICHEY, FL, 34655, US
Mail Address: 2154 DUCK SLOUGH BLVD, STE. 2, NEW PORT RICHEY, FL, 34655, US
ZIP code: 34655
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326095951 2006-05-28 2020-08-22 2020 SEVEN SPRINGS BLVD, STE B, NEW PORT RICHEY, FL, 34655, US 2020 SEVEN SPRINGS BLVD, STE B, NEW PORT RICHEY, FL, 34655, US

Contacts

Phone +1 727-375-7578
Fax 7273757568

Authorized person

Name DR. CARLOS GANUZA
Role MEDICAL DOCTOR OWNER
Phone 7273757578

Taxonomy

Taxonomy Code 204C00000X - Sports Medicine (Neuromusculoskeletal Medicine) Physician
License Number ME29235
State FL
Is Primary Yes

Agent

Name Role Address
GANUZA CARLOS M Agent 2154 DUCK SLOUGH BLVD., NEW PORT RICHEY, FL, 34655

Director

Name Role Address
GANUZA CARLOS Director 2154 DUCK SLOUGH BLVD. STE. 2, NEW PORT RICHEY, FL, 34655

President

Name Role Address
GANUZA CARLOS President 2154 DUCK SLOUGH BLVD. STE. 2, NEW PORT RICHEY, FL, 34655

Events

Event Type Filed Date Value Description
PENDING REINSTATEMENT 2014-01-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-08-04 2154 DUCK SLOUGH BLVD, STE. 2, NEW PORT RICHEY, FL 34655 No data
CHANGE OF MAILING ADDRESS 2008-08-04 2154 DUCK SLOUGH BLVD, STE. 2, NEW PORT RICHEY, FL 34655 No data
REGISTERED AGENT ADDRESS CHANGED 2008-08-04 2154 DUCK SLOUGH BLVD., STE. 2, NEW PORT RICHEY, FL 34655 No data
REGISTERED AGENT NAME CHANGED 2007-05-04 GANUZA, CARLOS MD No data

Documents

Name Date
ANNUAL REPORT 2011-03-24
ANNUAL REPORT 2010-07-14
ANNUAL REPORT 2009-02-24
ANNUAL REPORT 2008-08-04
ANNUAL REPORT 2007-05-04
ANNUAL REPORT 2007-02-20
ANNUAL REPORT 2006-03-21
Domestic Profit 2005-11-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State