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BENGAL MEDICAL GROUP

Company Details

Entity Name: BENGAL MEDICAL GROUP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 16 Mar 2016 (9 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P16000024920
FEI/EIN Number 81-1888132
Address: 8870 W. OAKLAND PARK BLVD, STE. 102, SUNRISE, FL 33351
Mail Address: P.O. Box 542136, Lake Worth, FL 33454
ZIP code: 33351
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487104535 2016-10-12 2016-10-12 8870 W OAKLAND PARK BLVD, STE 102, SUNRISE, FL, 333517215, US 8870 W OAKLAND PARK BLVD, STE 102, SUNRISE, FL, 333517215, US

Contacts

Phone +1 954-906-1210
Fax 9543066654

Authorized person

Name BARRY FAY
Role PRESIDENT
Phone 9549064210

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8947
State FL
Is Primary Yes

Agent

Name Role Address
FAY, BARRY Agent 8870 W. OAKLAND PARK BLVD, STE. 102, SUNRISE, FL 33351

President

Name Role Address
FAY, BARRY President 8870 W. OAKLAND PARK BLVD #102, SUNRISE, FL 33351

Vice President

Name Role Address
SOBELMAN, JONATHAN Vice President 431 SE 14TH AVENUE, POMPANO BEACH, FL 33060

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF MAILING ADDRESS 2020-04-09 8870 W. OAKLAND PARK BLVD, STE. 102, SUNRISE, FL 33351 No data

Documents

Name Date
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-04-21
Domestic Profit 2016-03-16

Date of last update: 20 Jan 2025

Sources: Florida Department of State