| Entity Name: | NIRMALA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jan 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Nov 2016 (8 years ago) |
| Document Number: | P05000013848 |
| FEI/EIN Number | 76-0777978 |
| Address: | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL 33548 |
| Mail Address: | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL 33548 |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336365907 | 2007-04-18 | 2020-05-21 | 18928 N. DALE MABRY HWY, STE 102, LUTZ, FL, 33548, US | 18928 N. DALE MABRY HWY, STE 102, LUTZ, FL, 33548, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 813-948-2679 |
| Fax | 8139482694 |
Authorized person
| Name | DR. PAYAL PATEL |
| Role | PEDIATRICIAN |
| Phone | 8137581749 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME90168 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271493100 |
| State | FL |
| Issuer | SOCIAL SECURITY |
| Number | $$$$$$$$$ |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL, PRITESH | Agent | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL 33548 |
| Name | Role | Address |
|---|---|---|
| PATEL, PAYAL | President | 18934 N. DALE MABRY HWY, SUITE 101 LUTZ, FL 33548 |
| Name | Role | Address |
|---|---|---|
| PATEL, PAYAL | Secretary | 18934 N. DALE MABRY HWY, SUITE 101 LUTZ, FL 33548 |
| Name | Role | Address |
|---|---|---|
| PATEL, PAYAL | Director | 18934 N. DALE MABRY HWY, SUITE 101 LUTZ, FL 33548 |
| PATEL, PRITESH | Director | 1402 MERRY WATER DRIVE, LUTZ, FL 33548 |
| Name | Role | Address |
|---|---|---|
| PATEL, PRITESH | Treasurer | 1402 MERRY WATER DRIVE, LUTZ, FL 33548 |
| Name | Role | Address |
|---|---|---|
| MEHTA, SAUMEEL | Vice President | 18934 NORTH DALE MABRY STE 101, LUTZ, FL 33548 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000110490 | SUNSHINE PEDIATRICS OF HUDSON | ACTIVE | 2023-09-10 | 2028-12-31 | No data | 18934 N. DALE MABRY HIGHWAY, SUITE 101, LUTZ, FL, 33558 |
| G22000044795 | SUNSHINE PEDIATRICS OF FLORIDA | ACTIVE | 2022-04-08 | 2027-12-31 | No data | 2959 WINGLEWOOD CIRCLE, LUTZ, FL, 33558 |
| G22000035143 | SUNSHINE PEDIATRICS OF TAMPA | ACTIVE | 2022-03-17 | 2027-12-31 | No data | 1213 W HILLSBOROUGH AVE, STE A, TAMPA, FL, 33603 |
| G22000027167 | SUNSHINE PEDIATRICS OF WESLEY CHAPEL | ACTIVE | 2022-02-18 | 2027-12-31 | No data | 33921 SR-54, WESLEY CHAPEL, FL, 33543 |
| G22000027168 | SUNSHINE PEDIATRICS OF ZEPHYRHILLS | ACTIVE | 2022-02-18 | 2027-12-31 | No data | 7008 JASON DR, ZEPHYRHILLS, FL, 33541 |
| G07157900263 | SUNSHINE PEDIATRICS OF LUTZ | ACTIVE | 2007-06-06 | 2028-12-31 | No data | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL, 33548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-06 | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL 33548 | No data |
| AMENDMENT | 2016-11-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-13 | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL 33548 | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-13 | 18934 N. DALE MABRY HWY, SUITE 101, LUTZ, FL 33548 | No data |
| REINSTATEMENT | 2010-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-27 | PATEL, PRITESH | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-01-06 |
| ANNUAL REPORT | 2017-01-12 |
| Amendment | 2016-11-28 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
