CARBON HEALTH MEDICAL GROUP OF FLORIDA, P.A. - Florida Company Profile

Links between entities

Key Officers & Management

Name	Role	Address
Mandavia Sujal	Treasurer	300 California St., San Francisco, CA, 94104
Mandavia Sujal	Secretary	300 California St., San Francisco, CA, 94104
Mandavia Sujal	President	300 California St., San Francisco, CA, 94104
-	Agent	-
Mandavia Sujal	Director	300 California St., San Francisco, CA, 94104

National Provider Identifier

Authorized Person:

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Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G23000003718	CARBON HEALTH	ACTIVE	2023-01-09	2028-12-31	-	2100 FRANKLIN STREET, SUITE 355, OAKLAND, CA, 94612
G22000114964	CARBON HEALTH	ACTIVE	2022-09-13	2027-12-31	-	2100 FRANKLIN STREET, SUITE 355, OAKLAND, CA, 94612
G20000125179	CARBON HEALTH	ACTIVE	2020-09-25	2025-12-31	-	55 PACIFIC AVENUE, SAN FRANCISCO, CA, 94111

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2024-04-01	Telos Legal Corp.	-
REGISTERED AGENT ADDRESS CHANGED	2024-04-01	155 Office Plaza Dr., Tallahassee, FL 32301	-
CHANGE OF PRINCIPAL ADDRESS	2022-04-04	300 California St., 7th Floor, San Francisco, CA 94104	-
CHANGE OF MAILING ADDRESS	2022-04-04	300 California St., 7th Floor, San Francisco, CA 94104	-
MERGER	2021-03-10	-	CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 0. MERGER NUMBER 100000210941

Debts

Document Number	Status	Case Number	Name of Court	Date of Entry	Expiration Date	Amount Due	Plaintiff
J24000165223	TERMINATED	1000000985199	COLUMBIA	2024-03-18	2034-03-20	$ 4,444.60	STATE OF FLORIDA, DEPARTMENT OF REVENUE, LOS ANGELES SERVICE CENTER, 2390 E ORANGEWOOD AVE STE 325, ANAHEIM CA928066158

Documents

Name	Date
ANNUAL REPORT	2024-04-01
ANNUAL REPORT	2023-03-01
ANNUAL REPORT	2022-04-04
ANNUAL REPORT	2021-03-10
Merger	2021-03-10
Domestic Profit	2020-05-14