| Entity Name: | SHREEJI INTERVENTIONS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 May 2023 (2 years ago) |
| Document Number: | L23000232681 |
| FEI/EIN Number | 92-4025752 |
| Address: | 2344 Crestover Lane, Wesley Chapel, FL, 33544, US |
| Mail Address: | 5823 Bowen Daniel Drive, TAMPA, FL, 33616, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942989090 | 2023-07-17 | 2024-08-01 | 2344 CRESTOVER LN, WESLEY CHAPEL, FL, 335446470, US | 2344 CRESTOVER LN, WESLEY CHAPEL, FL, 335446470, US | |||||||||||||||||||
|
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| Phone | +1 302-602-0028 |
| Phone | +1 813-563-0917 |
Authorized person
| Name | DR. AGAM DHIREN PATEL |
| Role | OWNER |
| Phone | 3026020028 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL KARAN N | Agent | 5823 Bowen Daniel Drive, TAMPA, FL, 33616 |
| Name | Role | Address |
|---|---|---|
| PATEL KARAN N | Authorized Member | 5823 Bowen Daniel Drive, TAMPA, FL, 33616 |
| PATEL AGAM D | Authorized Member | 5823 Bowen Daniel Drive, TAMPA, FL, 33616 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000087673 | PALM ENDOVASCULAR INSTITUTE | ACTIVE | 2023-07-26 | 2028-12-31 | No data | 5823 BOWEN DANIEL DRIVE, UNIT 1502, TAMPA, FL, 33616 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-24 | 2344 Crestover Lane, Wesley Chapel, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-24 | 2344 Crestover Lane, Wesley Chapel, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-24 | 5823 Bowen Daniel Drive, Unit 1502, TAMPA, FL 33616 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-24 |
| Florida Limited Liability | 2023-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
