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SATISH J. SHAH, M.D., P.A.

Company Details

Entity Name: SATISH J. SHAH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Jun 1979 (46 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: 625816
FEI/EIN Number 59-1914702
Address: 601 E SAMPLE RD #109, POMPANO BEACH, FL 33064
Mail Address: 601 E SAMPLE RD #109, POMPANO BEACH, FL 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922390798 2011-05-11 2011-05-11 601 E. SAMPLE RD., 109, DEERFIELD BEACH, FL, 330644443, US 601 E. SAMPLE RD., 109, DEERFIELD BEACH, FL, 330644443, US

Contacts

Phone +1 954-785-6335
Fax 9547851520

Authorized person

Name DR. SATISH J. SHAH
Role PRESIDENT
Phone 9547856335

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number ME0026347
State FL
Is Primary Yes

Agent

Name Role Address
SHAH, SATISH MD Agent 601 E SAMPLE RD #109, POMPANO BEACH, FL 33064

President

Name Role Address
SHAH, SATISH JMD President 601 E SAMPLE RD #109, POMPANO BCH, FL

Director

Name Role Address
SHAH, SATISH JMD Director 601 E SAMPLE RD #109, POMPANO BCH, FL

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF MAILING ADDRESS 2011-04-18 601 E SAMPLE RD #109, POMPANO BEACH, FL 33064 No data
CHANGE OF PRINCIPAL ADDRESS 2004-03-25 601 E SAMPLE RD #109, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT NAME CHANGED 1997-03-12 SHAH, SATISH MD No data
REGISTERED AGENT ADDRESS CHANGED 1997-03-12 601 E SAMPLE RD #109, POMPANO BEACH, FL 33064 No data

Documents

Name Date
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-01-28
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-02-12
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-04-18
ANNUAL REPORT 2010-01-04
ANNUAL REPORT 2009-02-07
ANNUAL REPORT 2008-07-15
ANNUAL REPORT 2007-02-01

Date of last update: 05 Feb 2025

Sources: Florida Department of State