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  5. CITRUS PARK MEDICAL CARE INC.

CITRUS PARK MEDICAL CARE INC.

Company Details

Entity Name: CITRUS PARK MEDICAL CARE INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 27 Apr 2005 (20 years ago)
Document Number: P05000061840
FEI/EIN Number 86-1112772
Address: 6328 GUNN HWY, B, TAMPA, FL 33625
Mail Address: 6328 GUNN HWY, B, TAMPA, FL 33625
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033266176 2007-01-04 2020-08-22 6328 GUNN HWY, TAMPA, FL, 336254122, US 6328 GUNN HWY, TAMPA, FL, 336254122, US

Contacts
Phone +1 813-964-8526
Fax 8139648536

Authorized person
Name DR. DIPAK SHAH
Role OWNER
Phone 8132652066

Taxonomy
Taxonomy Code 173000000X - Legal Medicine
License Number ME50876
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2023 861112772 2024-09-08 CITRUS PARK MEDICAL CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE RETIREMENT PLAN 2023 861112772 2024-09-08 CITRUS PARK MEDICAL CARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2022 861112772 2023-09-27 CITRUS PARK MEDICAL CARE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE RETIREMENT PLAN 2022 861112772 2023-10-05 CITRUS PARK MEDICAL CARE 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2021 861112772 2022-10-12 CITRUS PARK MEDICAL CARE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2020 861112772 2021-06-22 CITRUS PARK MEDICAL CARE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2019 861112772 2020-04-16 CITRUS PARK MEDICAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2020-04-16
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2018 861112772 2019-09-24 CITRUS PARK MEDICAL CARE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8134866442
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2017 861112772 2018-09-20 CITRUS PARK MEDICAL CARE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8134866442
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2018-09-20
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2016 861112772 2017-10-04 CITRUS PARK MEDICAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8134866442
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MEHTA, SHITAL D.O. Agent 6328 GUNN HWY, B, TAMPA, FL 33625

Director

Name Role Address
MEHTA, SHITAL Director 6328 GUNN HWY, TAMPA, FL 33625

Officer

Name Role Address
MEHTA, SHITAL Officer 6328 GUNN HWY, TAMPA, FL 33625

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2008-01-17 6328 GUNN HWY, B, TAMPA, FL 33625 No data
CHANGE OF PRINCIPAL ADDRESS 2007-07-13 6328 GUNN HWY, B, TAMPA, FL 33625 No data
CHANGE OF MAILING ADDRESS 2007-07-13 6328 GUNN HWY, B, TAMPA, FL 33625 No data
REGISTERED AGENT NAME CHANGED 2006-12-27 MEHTA, SHITAL D.O. No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-13

Related by officers

MEHTA, SHITAL D.O.

TRU BEAUTY MEDSPA LLC

MEHTA, SHITAL

MINT REALTY GROUP LLC VENTI INVESTMENTS, LLC RONAK INVESTMENT REAL ESTATE, LLC WESLEY CHAPEL MEDICAL CARE INC. SHRI CONSULTING LLC TOWN N COUNTRY MEDICAL CARE, LLC BRANDON MEDICAL CARE, LLC ORANGE GROVE PRIME, LLC ARMS AM, LLC GUAVA EQ, LLC

Related by address

No related companies by address

Date of last update: 29 Jan 2025

Sources: Florida Department of State

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