| Entity Name: | SUNSHINE ALLERGY AND ASTHMA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Mar 2021 (4 years ago) |
| Document Number: | L21000124990 |
| FEI/EIN Number | 86-2958369 |
| Address: | 2565 Toledo Blade Blvd, North Port, FL, 34289, US |
| Mail Address: | 2565 Toledo Blade Blvd, North Port, FL, 34289, US |
| ZIP code: | 34289 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275114779 | 2021-04-16 | 2021-04-16 | PO BOX 791, CARNEGIE, PA, 151060791, US | 2565 N TOLEDO BLADE BLVD, NORTH PORT, FL, 342899306, US | |||||||||||||||||||||
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| Phone | +1 412-951-2439 |
| Phone | +1 412-655-4362 |
Authorized person
| Name | KRISTYN BILLINGS |
| Role | CREDENTIALING |
| Phone | 4126554362 |
Taxonomy
| Taxonomy Code | 207RA0201X - Allergy & Immunology (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | OS16686 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL NILAMBEN | Agent | 2565 Toledo Blade Blvd, North Port, FL, 34289 |
| Name | Role | Address |
|---|---|---|
| SHUKLA PRERAK | Authorized Member | 5988 RACHELE DRIVE, SARASOTA, FL, 34243 |
| PATEL NILAMBEN | Authorized Member | 5988 RACHELE DRIVE, SARASOTA, FL, 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-27 | 2565 Toledo Blade Blvd, North Port, FL 34289 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-03 | 2565 Toledo Blade Blvd, North Port, FL 34289 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-03 | PATEL, NILAMBEN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 2565 Toledo Blade Blvd, North Port, FL 34289 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-02-03 |
| Florida Limited Liability | 2021-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
