Entity Name: | GI HEALTH SPECIALISTS OF FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 12 Jan 2024 (a year ago) |
Document Number: | L24000015695 |
Address: | 12191 WEST LINEBAUGH AVE STE 770, WESTCHASA, FL 33626 |
Mail Address: | 12191 WEST LINEBAUGH AVE STE 770, WESTCHASA, FL 33626 |
ZIP code: | 33626 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386406536 | 2024-01-24 | 2024-07-09 | 12191 W LINEBAUGH AVE STE 770, WESTCHASE, FL, 336261732, US | 3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL, 346844928, US | |||||||||||||
|
Phone | +1 727-784-2848 |
Authorized person
Name | DR. BADAL SHAH SHAH |
Role | OWNER |
Phone | 9048595029 |
Taxonomy
Taxonomy Code | 207RG0100X - Gastroenterology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SHAH, BADAL | Agent | 9585 CAVENDISH DRIVE, TAMPA, FL 33626 |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-12 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State