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GI HEALTH SPECIALISTS OF FLORIDA, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SHAH, BADAL Agent 9585 CAVENDISH DRIVE, TAMPA, FL 33626

Documents

Name Date
Florida Limited Liability 2024-01-12

Date of last update: 09 Feb 2025

Sources: Florida Department of State