| Entity Name: | BANU MEDICAL PRACTICE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Feb 2022 (3 years ago) |
| Document Number: | P22000021426 |
| FEI/EIN Number | 88-1372827 |
| Address: | PLANTATION CORPORATE CENTER, 2 S. UNIVERSITY DRIVE, STE. 330, PLANTATION, FL, 33324, US |
| Mail Address: | PLANTATION CORPORATE CENTER, 2 S. UNIVERSITY DRIVE, STE. 330, PLANTATION, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063155570 | 2022-04-14 | 2022-04-14 | 2 S UNIVERSITY DR STE 330, PLANTATION, FL, 333243307, US | 2 S UNIVERSITY DR STE 330, PLANTATION, FL, 333243307, US | |||||||||||||||
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| Phone | +1 954-205-6071 |
| Fax | 9548209652 |
Authorized person
| Name | FULVIA BANU |
| Role | OWNER |
| Phone | 9542056071 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BANU JOHN L | Agent | 2021 SW 70 Ave BLDG B1, DAVIE, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| BANU FULVIA C | Director | PLANTATION CORPORATE CENTER, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-27 | 2021 SW 70 Ave BLDG B1, DAVIE, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-27 |
| Domestic Profit | 2022-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
