| Entity Name: | N SHAPE &HEALTH MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Mar 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Jun 2023 (2 years ago) |
| Document Number: | L19000087174 |
| FEI/EIN Number | 84-1882321 |
| Address: | 10706 RUFFINO CT., Trinity, FL 34655 |
| Mail Address: | 10706 RUFFINO CT., Trinity, FL 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124672803 | 2019-07-30 | 2020-12-01 | 4691 VAN DYKE RD, LUTZ, FL, 335584880, US | 4691 VAN DYKE RD, LUTZ, FL, 335584880, US | |||||||||||||||||||
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| Phone | +1 813-443-1443 |
Authorized person
| Name | JOSEPH SHNOUDA |
| Role | OWNER |
| Phone | 8134431448 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME104671 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHNOUDA, JOSEPH, MD | Agent | 10706 RUFFINO CT, TRINITY, FL 34655 |
| Name | Role | Address |
|---|---|---|
| SHNOUDA, JOSEPH | Manager | 10706, RUFFINO CT TRINITY, FL 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-06-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-20 | 10706 RUFFINO CT., Trinity, FL 34655 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-20 | 10706 RUFFINO CT., Trinity, FL 34655 | No data |
| LC AMENDMENT | 2019-08-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| LC Amendment | 2023-06-23 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-05-15 |
| LC Amendment | 2019-08-23 |
| Florida Limited Liability | 2019-03-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6084107309 | 2020-04-30 | 0455 | PPP | 4691 VAN DYKE RD, LUTZ, FL, 33558-4880 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
