Entity Name: | ZEINI MEDICAL GROUP, PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 09 Nov 2005 (19 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | P05000150306 |
FEI/EIN Number | 203772015 |
Address: | 14955 HAWKSMOOR RUN CIRCLE, ORLANDO, FL, 32828 |
Mail Address: | 14955 HAWKSMOOR RUN CIRCLE, ORLANDO, FL, 32828 |
ZIP code: | 32828 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639106578 | 2006-06-27 | 2022-07-21 | 14955 HAWKSMOOR RUN CIR, ORLANDO, FL, 328287511, US | 1817 CRESCENT BLVD, ORLANDO, FL, 328174614, US | |||||||||||||||||||
|
Phone | +1 407-341-9280 |
Fax | 4072080593 |
Authorized person
Name | DR. MINA ZEINI |
Role | PRESIDENT |
Phone | 4073419280 |
Taxonomy
Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
License Number | ME86118 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ZEINI MINA M | Agent | 14955 HAWKSMOOR RUN CIRCLE, ORLANDO, FL, 32828 |
Name | Role | Address |
---|---|---|
ZEINI MINA M | President | 14955 HAWKMOOR RUN CIRCLE, ORLANDO, FL, 32828 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2006-07-05 | ZEINI, MINA MD | No data |
NAME CHANGE AMENDMENT | 2006-02-03 | ZEINI MEDICAL GROUP, PA | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2010-04-04 |
ANNUAL REPORT | 2009-04-15 |
ANNUAL REPORT | 2008-04-13 |
ANNUAL REPORT | 2007-07-16 |
ANNUAL REPORT | 2006-07-05 |
Name Change | 2006-02-03 |
Domestic Profit | 2005-11-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State