| Entity Name: | PHYSICIANS GROUP INTERNAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Apr 2007 (18 years ago) |
| Date of dissolution: | 12 Feb 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Feb 2017 (8 years ago) |
| Document Number: | P07000044498 |
| FEI/EIN Number | 208822510 |
| Address: | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL, 34638 |
| Mail Address: | 17301 San Aringo Place, Lutz, FL, 33548, US |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932396504 | 2007-09-27 | 2009-07-15 | 2651 NARNIA WAY, LAND O LAKES, FL, 346387233, US | 2651 NARNIA WAY, LAND O LAKES, FL, 346387233, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 813-600-5040 |
Authorized person
| Name | DR. KRUNAL PATEL |
| Role | DOCTOR |
| Phone | 8136005040 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 96521 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1932396504 |
| Name | Role | Address |
|---|---|---|
| PATEL KRUNAL | Agent | 2651 NARNIA WAY, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| PATEL KRUNAL | President | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| PATEL KRUNAL | Secretary | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| PATEL KRUNAL | Treasurer | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| PATEL KRUNAL | Director | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-02-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-04 | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL 34638 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-28 | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL 34638 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-28 | 2651 NARNIA WAY, SUITE 101, LAND O LAKES, FL 34638 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-31 |
| ANNUAL REPORT | 2015-02-10 |
| ANNUAL REPORT | 2014-02-04 |
| ANNUAL REPORT | 2013-01-15 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-17 |
| ANNUAL REPORT | 2010-05-03 |
| ANNUAL REPORT | 2009-01-28 |
| ANNUAL REPORT | 2008-01-12 |
| Domestic Profit | 2007-04-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
