| Entity Name: | MARS MEDICAL GROUP P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2021 (4 years ago) |
| Document Number: | P21000044813 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2812 W. ALLINE AVE., TAMPA, FL, 33611, US |
| Mail Address: | 2812 W. ALLINE AVE., TAMPA, FL, 33611, US |
| ZIP code: | 33611 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215758107 | 2024-10-23 | 2024-11-05 | 2812 W ALLINE AVE, TAMPA, FL, 336112806, US | 3816 W MORRISON AVE, TAMPA, FL, 336294437, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-833-1355 |
Authorized person
| Name | GREGORY S YOUTZ |
| Role | PRESIDENT, CEO |
| Phone | 8138331355 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| YOUTZ GREGORY | President | 2812 W. ALLINE AVE., TAMPA, FL, 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-11 | 2812 W. ALLINE AVE., TAMPA, FL 33611 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-11 | 2812 W. ALLINE AVE., TAMPA, FL 33611 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-03 |
| Domestic Profit | 2021-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
