| Entity Name: | HIMANSHU S. KAIRAB, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jun 2001 (24 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P01000061288 |
| FEI/EIN Number | 651115764 |
| Address: | 3306 SW 26TH AVE, BLDG 200, OCALA, FL, 34471 |
| Mail Address: | 3306 SW 26TH AVE, BLDG 200, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538390372 | 2009-07-28 | 2009-07-28 | 3306 SW 26TH AVE, BUILDING 200, OCALA, FL, 344717856, US | 3306 SW 26TH AVE, BUILDING 200, OCALA, FL, 344717856, US | |||||||||||||||||||||||||
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| Phone | +1 352-861-8681 |
| Fax | 3528612502 |
Authorized person
| Name | DR. HIMANSHU S KAIRAB |
| Role | OWNER |
| Phone | 3528618381 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME68991 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 110226684 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KAIRAB HIMANSHU S | Agent | 3306 SW 26TH AVE, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| KAIRAB HIMANSHU S | President | 3306 SW 26TH AVE BLDG 200, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-09-05 | KAIRAB, HIMANSHU S | No data |
| REINSTATEMENT | 2011-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-06 | 3306 SW 26TH AVE, BLDG 200, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-06 | 3306 SW 26TH AVE, BLDG 200, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-06 | 3306 SW 26TH AVE, BLDG 200, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-04-02 |
| ANNUAL REPORT | 2014-04-15 |
| ANNUAL REPORT | 2013-09-05 |
| ANNUAL REPORT | 2012-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
