| Entity Name: | SHRI BALAJI MEDICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Dec 2012 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2019 (5 years ago) |
| Document Number: | L12000160568 |
| FEI/EIN Number | 461628992 |
| Address: | 4123 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4123 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467799577 | 2013-01-09 | 2013-07-04 | 4123 UNIVERSITY BLVD S STE C, JACKSONVILLE, FL, 322164320, US | 4123 UNIVERSITY BLVD S, SUITE C, JACKSONVILLE, FL, 322164371, US | |||||||||||||||||||||
|
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| Phone | +1 904-704-7140 |
| Fax | 8886554672 |
| Fax | 8666838679 |
Authorized person
| Name | CHITRA V RAJPAL |
| Role | PRESIDENT |
| Phone | 9047047140 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME108505 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAJPAL CHITRA | Agent | 4123 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| RAJPAL CHITRA | Managing Member | 4123 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000003720 | HEALTH PLUS MEDICAL SERVICE | EXPIRED | 2013-01-10 | 2018-12-31 | No data | 6000 SAN JOSE BLVD UNIT #4C, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-03 | RAJPAL, CHITRA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-27 | 4123 UNIVERSITY BLVD. SOUTH, UNIT #C, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-27 | 4123 UNIVERSITY BLVD. SOUTH, UNIT #C, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-27 | 4123 UNIVERSITY BLVD. SOUTH, UNIT #C, JACKSONVILLE, FL 32216 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000416283 | TERMINATED | 1000000897860 | DUVAL | 2021-08-13 | 2031-08-18 | $ 364.85 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-03-27 |
| REINSTATEMENT | 2019-10-03 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
