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MANOJ B. SHUKLA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MANOJ B. SHUKLA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Oct 1983 (42 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Dec 1984 (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
City: Crystal River
County: Citrus
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Modi Fagunkumar Secretary 5616 W. NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429
Abraham SUNOJ Vice President 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429
SEVILLA OLIVER K Treasurer 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429
SHAH GAURAV Vice President 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429
Shah Vikram Agent 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429
Shah Vikram President 5616 W. NORVELL BRYANT GWY, CRYSTAL RIVER, FL, 34429
Shah Vikram Director 5616 W. NORVELL BRYANT GWY, CRYSTAL RIVER, FL, 34429

Commercial and government entity program

CAGE number:
9D0Q7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-07-10
CAGE Expiration:
2028-07-13
SAM Expiration:
2024-07-10

Contact Information

POC:
KELLY HIBBETTS

National Provider Identifier

NPI Number:
1750318192

Authorized Person:

Name:
DR. MANOJ B SHUKLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
3527952269

Form 5500 Series

Employer Identification Number (EIN):
592348526
Plan Year:
2023
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
16
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000077627 CITRUS PULMONARY CONSULTANTS ACTIVE 2017-07-19 2027-12-31 - 5616 W NORVELL BRYANT HWY, OPTIONAL, CRYSTAL RIVER, FL, 34429
G12000111446 CITRUS PULMONARY CONSULTANTS & SLEEP DISORDERS CENTER ACTIVE 2012-11-19 2027-12-31 - 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL, 34429

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-07-06 Shah, Vikram -
CHANGE OF PRINCIPAL ADDRESS 1994-02-08 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429 -
CHANGE OF MAILING ADDRESS 1994-02-08 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429 -
REGISTERED AGENT ADDRESS CHANGED 1994-02-08 5616 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429 -
REINSTATEMENT 1984-12-06 - -
INVOLUNTARILY DISSOLVED 1984-11-21 - -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-07-06
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-02-11
ANNUAL REPORT 2015-01-29

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
327563.00
Total Face Value Of Loan:
327563.00

Paycheck Protection Program

Jobs Reported:
28
Initial Approval Amount:
$327,563
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$327,563
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$329,680.94
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $327,563

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Date of last update: 02 Aug 2025

Sources: Florida Department of State