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FELLA MEDICAL GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: FELLA MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Jan 2022 (4 years ago)
Document Number: P22000001167
FEI/EIN Number 87-4371471
Address: 2261 MARKET STREET, #4540, SAN FRANCISCO, CA, 94114, US
Mail Address: 2261 MARKET STREET, #4540, SAN FRANCISCO, CA, 94114, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
2976877
State:
CONNECTICUT
Type:
Headquarter of
Company Number:
1355894
State:
KENTUCKY
Type:
Headquarter of
Company Number:
CORP_73562961
State:
ILLINOIS
Type:
Headquarter of
Company Number:
1422241
State:
MISSISSIPPI
Type:
Headquarter of
Company Number:
001765559
State:
RHODE ISLAND
RHODE ISLAND profile:
Type:
Headquarter of
Company Number:
10251837
State:
ALASKA
Type:
Headquarter of
Company Number:
6474034
State:
NEW YORK
Type:
Headquarter of
Company Number:
ae82250c-8c84-ee11-9078-00155d01c440
State:
MINNESOTA
Type:
Headquarter of
Company Number:
20238197790
State:
COLORADO
Type:
Headquarter of
Company Number:
5482744
State:
IDAHO

Key Officers & Management

Name Role Address
- Agent -
Cartwright Richard Chief Executive Officer 2261 MARKET STREET, #4540, SAN FRANCISCO, CA, 94114

National Provider Identifier

NPI Number:
1114671096
Certification Date:
2024-06-20

Authorized Person:

Name:
RAFID FADUL
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4159492758

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-05-04
Domestic Profit 2022-01-06

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Date of last update: 03 Aug 2025

Sources: Florida Department of State