| Entity Name: | MATHEW MEDICAL CONSULTING PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Mar 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P11000022949 |
| FEI/EIN Number | 450664215 |
| Address: | 8374 MARKET STREET, #183, LAKEWOOD RANCH, FL, 34202, US |
| Mail Address: | 8374 MARKET STREET, #183, LAKEWOOD RANCH, FL, 34202, US |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992082721 | 2011-11-08 | 2011-11-08 | 635 TUSCANNY ST, BRANDON, FL, 335116165, US | 635 TUSCANNY ST, BRANDON, FL, 335116165, US | |||||||||||||||||||||||||
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| Phone | +1 239-210-0132 |
| Fax | 2392100134 |
Authorized person
| Name | JENIFER O OLIVEIRA |
| Role | CREDENTIALER |
| Phone | 2392100132 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME102280 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000612200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Moriarty Brenden S | Agent | 1001 3rd Avenue West, Bradenton, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| MATHEW MANOJ | President | 8374 MARKET STREET, LAKEWOOD RANCH, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| MATHEW MANOJ | Secretary | 8374 MARKET STREET, LAKEWOOD RANCH, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-01 | 8374 MARKET STREET, #183, LAKEWOOD RANCH, FL 34202 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-01 | 8374 MARKET STREET, #183, LAKEWOOD RANCH, FL 34202 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | Moriarty, Brenden S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 1001 3rd Avenue West, Suite 650, Bradenton, FL 34205 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
