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SHUBHOM HEALTHCARE LLC

Company Details

Entity Name: SHUBHOM HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Aug 2010 (14 years ago)
Document Number: L10000085072
FEI/EIN Number 27-3380213
Address: 3600 S Tuttle Ave, Sarasota, FL 34239
Mail Address: 3600 S Tuttle Ave, Sarasota, FL 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952611329 2010-10-19 2019-06-17 3600 S TUTTLE AVE, SARASOTA, FL, 342396407, US 3600 S TUTTLE AVE, SARASOTA, FL, 342396407, US

Contacts

Phone +1 941-556-9622
Fax 9415569623

Authorized person

Name BHUMIN PATEL
Role PHARMACY MANAGER
Phone 9417734460

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH24996
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No
Taxonomy Code 3336L0003X - Long Term Care Pharmacy
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 003014800
State FL
Issuer PK
Number 2127229

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2023 273380213 2024-06-17 SHUBHOM HEALTHCARE, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 7099 TAMWORTH PKWY, SARASOTA, FL, 34241
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2022 273380213 2023-08-22 SHUBHOM HEALTHCARE, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 7099 TAMWORTH PKWY, SARASOTA, FL, 34241
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2021 273380213 2022-10-14 SHUBHOM HEALTHCARE, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 7099 TAMWORTH PKWY, SARASOTA, FL, 34241
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2020 273380213 2021-09-18 SHUBHOM HEALTHCARE, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 7099 TAMWORTH PKWY, SARASOTA, FL, 34241
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2019 273380213 2020-10-15 SHUBHOM HEALTHCARE, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 7099 TAMWORTH PKWY, SARASOTA, FL, 34241
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2018 273380213 2019-09-13 SHUBHOM HEALTHCARE, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 3714 67TH TERRACE EAST, SARASOTA, FL, 34243
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2017 273380213 2018-10-14 SHUBHOM HEALTHCARE, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 3714 67TH TERRACE EAST, SARASOTA, FL, 34243

Signature of

Role Plan administrator
Date 2018-10-14
Name of individual signing BHUMIN PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-14
Name of individual signing BHUMIN PATEL
Valid signature Filed with authorized/valid electronic signature
SHUBHOM HEALTHCARE, LLC DEFINED BENEFIT PLAN 2016 273380213 2017-11-10 SHUBHOM HEALTHCARE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 9417533150
Plan sponsor’s address 3714 67TH TERRACE EAST, SARASOTA, FL, 34243

Signature of

Role Plan administrator
Date 2017-11-10
Name of individual signing BHUMIN PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL, BHUMIN N Agent 3600 S Tuttle Ave, Sarasota, FL 34239

Manager

Name Role Address
Patel, Bhumin N Manager 3600 S Tuttle Ave, Sarasota, FL 34239
Patel, Sweta B Manager 3600 S Tuttle Ave, Sarasota, FL 34239

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000081197 SUN DISCOUNT PHARMACY ACTIVE 2010-09-02 2025-12-31 No data 3600 S TUTTLE AVE, SARASOTA, FL, 34239

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-24 PATEL, BHUMIN N No data
CHANGE OF PRINCIPAL ADDRESS 2020-01-15 3600 S Tuttle Ave, Sarasota, FL 34239 No data
CHANGE OF MAILING ADDRESS 2020-01-15 3600 S Tuttle Ave, Sarasota, FL 34239 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-15 3600 S Tuttle Ave, Sarasota, FL 34239 No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-05
ANNUAL REPORT 2015-02-21

Date of last update: 24 Jan 2025

Sources: Florida Department of State