| Entity Name: | HEALTH FIRST INTERNAL MEDICINE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HEALTH FIRST INTERNAL MEDICINE ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Oct 2008 (16 years ago) |
| Document Number: | L08000096131 |
| FEI/EIN Number |
263527267
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8562 NE 138th Lane, LADY LAKE, FL, 32159, US |
| Mail Address: | P.O. Box 2080, LADY LAKE, FL, 32158, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013286004 | 2011-12-20 | 2023-03-24 | PO BOX 2080, LADY LAKE, FL, 321582080, US | 8562 NE 138TH LN, LADY LAKE, FL, 321598919, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 352-633-8681 |
| Fax | 3523857574 |
Authorized person
| Name | DR. JANMEJAY SHAKTAWAT |
| Role | OFFICE MANAGER |
| Phone | 3526338681 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME88930 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269624000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAKTAWAT JANMEJAY | Managing Member | 6110 SPINNAKER LOOP, LADY LAKE, FL, 32159 |
| SHAKTAWAT JANMEJAY | Agent | 8562 NE 138th Lane, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-19 | 8562 NE 138th Lane, LADY LAKE, FL 32159 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-19 | 8562 NE 138th Lane, LADY LAKE, FL 32159 | - |
| CHANGE OF MAILING ADDRESS | 2013-01-22 | 8562 NE 138th Lane, LADY LAKE, FL 32159 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2576367206 | 2020-04-16 | 0491 | PPP | 13953 NE 86th Terrace, Lady Lake, FL, 32159-6832 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Mar 2025
Sources: Florida Department of State
