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SOUTHERN WELLCARE MEDICAL, P.C.

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Company Details

Name: SOUTHERN WELLCARE MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 29 Aug 2012 (13 years ago)
Date of dissolution: 03 Dec 2024
Entity Number: 4289559
ZIP code: 10458
County: Bronx
Place of Formation: New York
Address: 2336 GRAND CONCOURSE, BRONX, NY, United States, 10458

Contact Details

Phone +1 718-220-0439

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2336 GRAND CONCOURSE, BRONX, NY, United States, 10458

National Provider Identifier

NPI Number:
1396090932

Authorized Person:

Name:
SVETLANA KHANDROS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7189332914

History

Start date End date Type Value
2025-01-21 2025-04-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-12-21 2025-01-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-12-03 2024-12-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-11-18 2024-12-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-15 2024-11-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241218003321 2024-12-03 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-12-03
150106000971 2015-01-06 CERTIFICATE OF CHANGE 2015-01-06
120829000539 2012-08-29 CERTIFICATE OF INCORPORATION 2012-08-29

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State