| Entity Name: | MEDROCK, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Oct 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Sep 2024 (5 months ago) |
| Document Number: | P14000086443 |
| FEI/EIN Number | 47-2145974 |
| Address: | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114, US |
| Mail Address: | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114, US |
| ZIP code: | 34114 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649676701 | 2014-11-17 | 2014-11-17 | 3365 BALTIC DR, NAPLES, FL, 341198680, US | 3365 BALTIC DR, NAPLES, FL, 341198680, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 718-213-6136 |
Authorized person
| Name | DR. ANURAG S. KUSHAWAHA |
| Role | OWNER |
| Phone | 7182136136 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 109471 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUSHAWAHA ANURAG | Agent | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| KUSHAWAHA ANURAG | President | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| KUSHAWAHA ANURAG | Vice President | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| KUSHAWAHA ANURAG | Secretary | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| KUSHAWAHA ANURAG | Treasurer | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114 |
| Name | Role | Address |
|---|---|---|
| KUSHAWAHA ANURAG | Director | 2159 YELLOWFIN CIRCLE, NAPLES, FL, 34114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-09-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-10 | 2159 YELLOWFIN CIRCLE, NAPLES, FL 34114 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 2159 YELLOWFIN CIRCLE, NAPLES, FL 34114 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-10 | KUSHAWAHA, ANURAG | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-10 | 2159 YELLOWFIN CIRCLE, NAPLES, FL 34114 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-09-10 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-03-02 |
| Domestic Profit | 2014-10-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
