Entity Name: | GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 29 Aug 2005 (19 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | L05000085647 |
FEI/EIN Number | 203383890 |
Address: | 4123 UNIVERSITY BLVD. SOUTH, SUITE A, JACKSONVILLE, FL, 32216 |
Mail Address: | 4123 UNIVERSITY BLVD. SOUTH, SUITE A, JACKSONVILLE, FL, 32207, US |
ZIP code: | 32216 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831210889 | 2007-04-03 | 2010-06-24 | 4123 UNIVERSITY BLVD S STE A, JACKSONVILLE, FL, 322164320, US | 4123 UNIVERSITY BLVD S STE A, JACKSONVILLE, FL, 322164320, US | |||||||||||||||||||||||||
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Phone | +1 904-737-2300 |
Fax | 9047372441 |
Authorized person
Name | DR. GAURANG NAGINLAL SHAH |
Role | PRESIDENT |
Phone | 9047372300 |
Taxonomy
Taxonomy Code | 207RG0100X - Gastroenterology Physician |
License Number | ME38507 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 066207100 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. 401(K) PROFIT SHARING PLAN AND TRUST | 2019 | 203383890 | 2020-07-08 | GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. | 5 | |||||||||||||
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GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. 401(K) PROFIT SHARING PLAN AND TRUST | 2019 | 203383890 | 2020-11-30 | GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. | 2 | |||||||||||||
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GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. 401(K) PROFIT SHARING PLAN AND TRUST | 2018 | 203383890 | 2019-07-31 | GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.L. | 5 | |||||||||||||
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Name | Role | Address |
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SHAH GAURANG N | Agent | 1301 RIVERBIRCH LANE, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
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SHAH GAURANG N | Manager | 1301,RIVERBIRCH LANE, JACKSONVILLE, FL, 32207 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 2016-04-26 | 4123 UNIVERSITY BLVD. SOUTH, SUITE A, JACKSONVILLE, FL 32216 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2012-01-18 | 1301 RIVERBIRCH LANE, JACKSONVILLE, FL 32207 | No data |
REGISTERED AGENT NAME CHANGED | 2011-02-12 | SHAH, GAURANG NMD | No data |
CHANGE OF PRINCIPAL ADDRESS | 2007-01-25 | 4123 UNIVERSITY BLVD. SOUTH, SUITE A, JACKSONVILLE, FL 32216 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-03-08 |
ANNUAL REPORT | 2021-03-15 |
ANNUAL REPORT | 2020-03-31 |
ANNUAL REPORT | 2019-02-24 |
ANNUAL REPORT | 2018-03-12 |
ANNUAL REPORT | 2017-05-10 |
ANNUAL REPORT | 2016-04-26 |
ANNUAL REPORT | 2015-03-18 |
ANNUAL REPORT | 2014-04-24 |
ANNUAL REPORT | 2013-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State