| Entity Name: | PANARA MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jan 1993 (32 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 22 Jan 2016 (9 years ago) |
| Document Number: | P93000000704 |
| FEI/EIN Number | 59-3157884 |
| Address: | 1907 BELFORD COURT, MAITLAND, FL 32751 |
| Mail Address: | 1907 BELFORD COURT, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386838738 | 2007-08-29 | 2016-02-03 | 1907 BELFORD CT, MAITLAND, FL, 327514210, US | 1907 BELFORD CT, MAITLAND, FL, 327514210, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-252-7486 |
Authorized person
| Name | DR. VRAJ PANARA |
| Role | PRESIDENT |
| Phone | 4072527486 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0061625 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253147000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PANARA, VRAJ | Agent | 1907 BELFORD COURT, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| PANARA, VRAJ | President | 1907 Belford Court, Maitland, FL 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-22 | 1907 BELFORD COURT, MAITLAND, FL 32751 | No data |
| AMENDMENT AND NAME CHANGE | 2016-01-22 | PANARA MEDICAL GROUP, INC. | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-22 | 1907 BELFORD COURT, MAITLAND, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-22 | 1907 BELFORD COURT, MAITLAND, FL 32751 | No data |
| CANCEL ADM DISS/REV | 2004-10-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-10-19 | PANARA, VRAJ | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-06-17 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-04-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
