| Entity Name: | MANOJ B. SHUKLA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Oct 1983 (41 years ago) |
| Document Number: | G65556 |
| FEI/EIN Number | 592348526 |
| Address: | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429, US |
| Mail Address: | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429, US |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CITRUS PULMONARY CONSULTANTS AND SLEEP DISORDERS CENTER CASH BALANCE PLAN | 2022 | 592348526 | 2023-10-10 | MANOJ B. SHUKLA, M.D., P.A. | 20 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | VIKRAM SHAH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3527951999 |
| Plan sponsor’s address | 5616 W. NORVELL BRYANT HIGHWAY, CRYSTAL RIVER, FL, 34429 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-13 |
| Name of individual signing | VIKRAM SHAH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Shah Vikram | Agent | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| SEVILLA OLIVER K | Treasurer | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| Shah Vikram | President | 5616 W. NORVELL BRYANT GWY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| SHAH GAURAV | Vice President | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429 |
| Abraham SUNOJ | Vice President | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| Shah Vikram | Director | 5616 W. NORVELL BRYANT GWY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| Modi Fagunkumar | Secretary | 5616 W. NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000077627 | CITRUS PULMONARY CONSULTANTS | ACTIVE | 2017-07-19 | 2027-12-31 | No data | 5616 W NORVELL BRYANT HWY, OPTIONAL, CRYSTAL RIVER, FL, 34429 |
| G12000111446 | CITRUS PULMONARY CONSULTANTS & SLEEP DISORDERS CENTER | ACTIVE | 2012-11-19 | 2027-12-31 | No data | 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1984-12-06 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1984-11-21 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
