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PRITESH & TARAK, P.A. - Florida Company Profile

Company Details

Entity Name: PRITESH & TARAK, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PRITESH & TARAK, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Apr 2005 (20 years ago)
Document Number: P05000058954
FEI/EIN Number 830426149

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Mail Address: 18928 N. DALE MABRY HWY, SUITE 101, LUTZ, FL, 33548
ZIP code: 33548
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760680870 2007-07-10 2022-03-31 20525 AMBERFIELD DR UNIT 104, LAND O LAKES, FL, 346384381, US 2114 SEVEN SPRINGS BLVD, SUITE 100, NEW PORT RICHEY, FL, 346553908, US

Contacts

Phone +1 813-536-7277
Fax 8336420635
Phone +1 813-909-1146

Authorized person

Name DR. PRITESH N PATEL
Role PARTNER
Phone 8139091146

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME888796
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE GROUP ID #
Number K7958
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNMED PRIMARY CARE 401(K) PLAN 2018 830426149 2019-03-01 PRITESH & TARAK, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2019-03-01
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2017 830426149 2018-03-12 PRITESH & TARAK, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2018-03-12
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2016 830426149 2017-09-06 PRITESH & TARAK, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2017-09-06
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2015 830426149 2016-02-11 PRITESH & TARAK, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146
SUNMED PRIMARY CARE 401(K) PLAN 2014 830426149 2015-07-07 PRITESH & TARAK, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2013 830426149 2014-03-11 PRITESH & TARAK, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2014-03-11
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2012 830426149 2013-05-28 PRITESH & TARAK, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2013-05-28
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2011 830426149 2012-06-04 PRITESH & TARAK, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2012-06-04
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2010 830426149 2011-09-30 PRITESH & TARAK, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2011-09-30
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature
SUNMED PRIMARY CARE 401(K) PLAN 2009 830426149 2010-08-26 PRITESH & TARAK, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8139091146
Plan sponsor’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548

Plan administrator’s name and address

Administrator’s EIN 830426149
Plan administrator’s name PRITESH & TARAK, P.A.
Plan administrator’s address 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Administrator’s telephone number 8139091146

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing TARAK CHOKSI
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PRITESH PATEL N Director 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
CHOKSI TARAK Director 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548
Richardson Christopher Othe 1785 Northpointe Pkwy., Suite 300, Lutz, FL, 33558
PATEL PRITESH N Agent 18928 N. DALE MABRY HWY., LUTZ, FL, 33548

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000101894 MYCARE MEDICAL ACTIVE 2019-09-17 2029-12-31 - 18928 N. DALE MABRY HWY, SUITE 101, LUTZ, FL, 33548
G13000007938 SUNMED PRIMARY CARE EXPIRED 2013-01-23 2018-12-31 - 18928 N. DALE MABRY HWY SUITE 101, LUTZ, FL, 33548

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-21 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL 33548 -
CHANGE OF MAILING ADDRESS 2012-01-04 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL 33548 -
CHANGE OF PRINCIPAL ADDRESS 2007-04-29 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL 33548 -
REGISTERED AGENT ADDRESS CHANGED 2007-04-29 18928 N. DALE MABRY HWY., SUITE 101, LUTZ, FL 33548 -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-01-25

Date of last update: 02 Mar 2025

Sources: Florida Department of State