| Entity Name: | MARAIR INTERNATIONAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Dec 2007 (17 years ago) |
| Document Number: | P07000133537 |
| FEI/EIN Number | 26-1615392 |
| Address: | 4507 FURLING LANE, SUITE 110, DESTIN, FL, 32541, US |
| Mail Address: | 4507 FURLING LANE, SUITE 110, DESTIN, FL, 32541, US |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477737732 | 2007-12-21 | 2012-07-30 | 485 INDIGO LOOP, MIRAMAR BEACH, FL, 325505226, US | 4507 FURLING LN, SUITE 110, DESTIN, FL, 325415328, US | |||||||||||||||||||||||||
|
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| Phone | +1 850-654-0054 |
| Fax | 8506540093 |
Authorized person
| Name | DR. MARA J FIORENTINO |
| Role | PRESIDENT |
| Phone | 8506540054 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME99642 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 279326100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kerrigan Jane E | Agent | 35008 Emerald Coast Pkwy, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| FIORENTINO MARA M | President | 4507 FURLING LANE, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-17 | Kerrigan, Jane ESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-17 | 35008 Emerald Coast Pkwy, 5th Floor, DESTIN, FL 32541 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-08 | 4507 FURLING LANE, SUITE 110, DESTIN, FL 32541 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-08 | 4507 FURLING LANE, SUITE 110, DESTIN, FL 32541 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000059882 | TERMINATED | 1000000449157 | OKALOOSA | 2012-12-27 | 2023-01-02 | $ 320.11 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 210 N TYNDALL PKWY, PANAMA CITY FL324046432 |
| J12000776891 | TERMINATED | 1000000393162 | OKALOOSA | 2012-10-11 | 2022-10-25 | $ 449.72 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 210 N TYNDALL PKWY, PANAMA CITY FL324046432 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
