Entity Name: | PINELLAS EKG INTERPRETERS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 05 Jan 1987 (38 years ago) |
Document Number: | J51157 |
FEI/EIN Number | 592766165 |
Mail Address: | 2358 DREW STREET, CLEARWATER, FL, 33765, US |
Address: | 2358 Drew Street, CLEARWATER, FL, 33765, US |
ZIP code: | 33765 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013952977 | 2006-06-17 | 2007-10-30 | PO BOX 23786, TAMPA, FL, 336233786, US | 323 JEFFORDS ST, CLEARWATER, FL, 337563825, US | |||||||||||||||||||||||||||
|
Phone | +1 727-823-2188 |
Fax | 7278239502 |
Phone | +1 727-462-7000 |
Authorized person
Name | MAHESH AMIN |
Role | PROVIDER/PRESIDENT |
Phone | 7278232188 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS FL |
Number | 94717 |
State | FL |
Issuer | RAILROAD MEDICARE |
Number | DD1395 |
Name | Role | Address |
---|---|---|
GASSMAN ALAN SESQ. | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
AMIN MAHESH M | President | 2358 DREW STREET, CLEARWATER, FL, 33765 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CANCEL ADM DISS/REV | 2009-04-13 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
REINSTATEMENT | 1991-02-14 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State