| Entity Name: | RISHI PATEL DO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Apr 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Dec 2022 (2 years ago) |
| Document Number: | L19000101371 |
| FEI/EIN Number | 84-1921479 |
| Address: | 4820 5th Ave North, St. Petersburg, FL, 33713, US |
| Mail Address: | 5260 78th Ave N # 2616, PINELLAS PARK, FL, 33780, US |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558929075 | 2019-05-30 | 2024-05-17 | 5260 78TH AVE N UNIT 2616, PINELLAS PARK, FL, 337808106, US | 4820 5TH AVE N, SAINT PETERSBURG, FL, 337137218, US | |||||||||||||||||||||||||||
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| Phone | +1 727-321-6768 |
| Fax | 7273278741 |
Authorized person
| Name | RISHI PATEL |
| Role | SELF |
| Phone | 7273216768 |
Taxonomy
| Taxonomy Code | 207QA0000X - Adolescent Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PATEL RISHI B | Agent | 6239 63RD LANE NORTH, PINELLAS PARK, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| PATEL RISHI B | Authorized Person | 6239 63RD LANE NORTH, PINELLAS PARK, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| Patidar Swetaben | Mgr | 6239 63RD LANE NORTH, PINELLAS PARK, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 4820 5th Ave North, St. Petersburg, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 4820 5th Ave North, St. Petersburg, FL 33713 | No data |
| REINSTATEMENT | 2022-12-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-19 | PATEL, RISHI B | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| REINSTATEMENT | 2022-12-19 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-09-01 |
| Florida Limited Liability | 2019-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
