| Entity Name: | HEARTWELL MEDICAL GROUP PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Dec 2021 (3 years ago) |
| Document Number: | P21000104141 |
| FEI/EIN Number | 87-4023727 |
| Address: | 1035 N Orlando Ave, Winter Park, FL, 32789, US |
| Mail Address: | 1035 N Orlando Ave, Winter Park, FL, 32789, US |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912668963 | 2022-01-03 | 2023-08-03 | 1035 N ORLANDO AVE STE 205, WINTER PARK, FL, 327892213, US | 1035 N ORLANDO AVE STE 205, WINTER PARK, FL, 327892213, US | |||||||||||||||
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| Phone | +1 321-274-8701 |
| Fax | 3212748702 |
Authorized person
| Name | RAGHAV SHARMA |
| Role | PRESIDENT/OWNER |
| Phone | 5139651391 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHARMA RAGHAV | Agent | 1035 N Orlando Ave, Winter Park, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| SHARMA RAGHAV | President | 1035 N Orlando Ave, Winter Park, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-17 | 1035 N Orlando Ave, Suite 205, Winter Park, FL 32789 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-17 | 1035 N Orlando Ave, Suite 205, Winter Park, FL 32789 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-17 | 1035 N Orlando Ave, Suite 205, Winter Park, FL 32789 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-15 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-03-02 |
| Domestic Profit | 2021-12-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
