| Entity Name: | MAHA SAI LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2018 (7 years ago) |
| Document Number: | L18000047325 |
| FEI/EIN Number | 82-4537993 |
| Address: | 910 0ld camp road, ste 170, the villages, FL, 32162, US |
| Mail Address: | 910 0ld camp road, ste 170, the villages, FL, 32162, US |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396240818 | 2018-03-27 | 2020-05-27 | 1285 DUSTY PINE DR, APOPKA, FL, 327038006, US | 910 OLD CAMP RD STE 170, THE VILLAGES, FL, 321625609, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-272-5944 |
| Phone | +1 352-268-3454 |
| Fax | 8888551807 |
Authorized person
| Name | HARDIK SHAH |
| Role | OWNER |
| Phone | 3522725944 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH31292 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2176638 |
| Name | Role | Address |
|---|---|---|
| patel vatsal | Agent | 910 0ld camp road, the villages, FL, 32162 |
| Name | Role | Address |
|---|---|---|
| PATEL VATSAL | President | 4196 foxhound dr, clermont, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000035875 | LAKE SUMTER LANDING PHARMACY | ACTIVE | 2018-03-16 | 2028-12-31 | No data | 910 OLD CAMP ROAD, SUITE 170, THE VILLAGES, FL, 32162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 910 0ld camp road, ste 170, the villages, FL 32162 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-02 | patel, vatsal | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-02 | 910 0ld camp road, ste 170, the villages, FL 32162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 910 0ld camp road, ste 170, the villages, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
