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RAJANI P. SHAH, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: RAJANI P. SHAH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 Jul 2005 (20 years ago)
Date of dissolution: 24 Sep 2021 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (4 years ago)
Document Number: P05000099567
FEI/EIN Number 203150175
Address: 7715 Still Lakes Drive, Odessa, FL, 33556, US
Mail Address: PO BOX 48947, TAMPA, FL, 33646, US
ZIP code: 33556
City: Odessa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAH RAJANI P Director Po box 48947, TAMPA, FL, 33646
WALKER GARY Agent 202 S. ROME AVENUE, TAMPA, FL, 33606

National Provider Identifier

NPI Number:
1134235120

Authorized Person:

Name:
RAJANI P. SHAH
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8139947640

Form 5500 Series

Employer Identification Number (EIN):
203150175
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000001498 INTERNAL MEDICINE GROUP OF TAMPA BAY EXPIRED 2013-01-06 2018-12-31 - P.O.BOX 48947, TAMPA, FL, 33646

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2020-06-30 7715 Still Lakes Drive, Odessa, FL 33556 -
CHANGE OF MAILING ADDRESS 2015-01-29 7715 Still Lakes Drive, Odessa, FL 33556 -

Documents

Name Date
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-01
ANNUAL REPORT 2016-04-04
ANNUAL REPORT 2015-01-29
ANNUAL REPORT 2014-04-13
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-04-25
ANNUAL REPORT 2011-03-28

USAspending Awards / Financial Assistance

Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
18400.00
Total Face Value Of Loan:
18400.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$18,400
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$18,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$18,533.4
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $18,400

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Date of last update: 03 Aug 2025

Sources: Florida Department of State