| Entity Name: | FOREST HILLS HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Aug 1984 (40 years ago) |
| Document Number: | H16945 |
| FEI/EIN Number | 59-2440113 |
| Address: | 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| Mail Address: | 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184737405 | 2006-08-17 | 2020-08-22 | 116 W BOUGAINVILLEA AVENUE, TAMPA, FL, 336127437, US | 116 W BOUGAINVILLEA AVENUE, TAMPA, FL, 336127437, US | |||||||||||||||
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| Phone | +1 813-932-4381 |
| Fax | 8139336875 |
Authorized person
| Name | PRAVIN D PATEL |
| Role | ADMINISTRATOR |
| Phone | 8139324381 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOREST HILLS HEALTH CARE, INC. 401(K) PLAN | 2021 | 592440113 | 2022-09-21 | FOREST HILLS HEALTH CARE, INC. | 27 | |||||||||||||
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| FOREST HILLS HEALTH CARE, INC. 401(K) PLAN | 2020 | 592440113 | 2021-09-27 | FOREST HILLS HEALTH CARE, INC. | 25 | |||||||||||||
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| FOREST HILLS HEALTH CARE, INC. 401(K) PLAN | 2019 | 592440113 | 2020-10-10 | FOREST HILLS HEALTH CARE, INC. | 25 | |||||||||||||
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| FOREST HILLS HEALTH CARE, INC. 401(K) PLAN | 2018 | 592440113 | 2019-10-08 | FOREST HILLS HEALTH CARE, INC. | 25 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| PATEL, Chandravadan J | Agent | 116 W BOUGAINVILEA AVE, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| PATEL, Chandravadan J | Director | 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| PATEL, Chandravadan J | President | 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| DESAI, SANJIV K | DIRECTOR | 116 W.BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| DESAI, SANJIV K | VICE PRESIDENT | 116 W.BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| DESAI, SANJIV K | SECRETARY | 116 W.BOUGAINVILLEA AVE, TAMPA, FL 33612 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000026025 | MEDICAL CENTER OF TAMPA BAY | EXPIRED | 2017-03-10 | 2022-12-31 | No data | 613 W. ML KING JR BLVD, SUITE 101, TAMPA, FL, 33603 |
| G10000115703 | ALPHA MEDICAL CLINIC | EXPIRED | 2010-12-17 | 2015-12-31 | No data | 3505 E. HILLSBOROUGH AVENUE, TAMPA, FL, 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-19 | 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-19 | 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-19 | PATEL, Chandravadan J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1994-02-14 | 116 W BOUGAINVILEA AVE, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-29 |
| AMENDED ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-01-12 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
