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ZEINI MEDICAL GROUP, PA

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ZEINI MINA M Agent 14955 HAWKSMOOR RUN CIRCLE, ORLANDO, FL, 32828

President

Name Role Address
ZEINI MINA M President 14955 HAWKMOOR RUN CIRCLE, ORLANDO, FL, 32828

Events

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

Documents

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