| Entity Name: | Bastion Medical Practice of Florida, P.A. P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 Dec 2022 |
| Business ALEI: | 2677796 |
| Annual report due: | 13 Dec 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 400 Farmington Ave, Farmington, CT, 06032-1913, United States |
| Mailing address: | 400 Farmington Ave, Farmington, CT, United States, 06032-1913 |
| ZIP code: | 06032 |
| County: | Hartford |
| Place of Formation: | FLORIDA |
| E-Mail: | complianceteam@cogencyglobal.com |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Vasanth Kainkaryam, M.D. | Officer | 1199 Sullivan Ave Ste A, South Windsor, CT, 06074-2013, United States | 1199 Sullivan Ave Ste A, South Windsor, CT, 06074-2013, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Vasanth Kainkaryam, M.D. | Director | 1199 Sullivan Ave Ste A, South Windsor, CT, 06074-2013, United States | 1199 Sullivan Ave Ste A, South Windsor, CT, 06074-2013, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012351991 | 2024-11-13 | No data | Annual Report | Annual Report | No data |
| BF-0011529749 | 2023-11-15 | No data | Annual Report | Annual Report | No data |
| BF-0011528647 | 2022-12-13 | No data | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
