| Entity Name: | VIJAY FERRIS MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Oct 2005 (19 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P05000135465 |
| FEI/EIN Number | 203575673 |
| Mail Address: | 9132 HIGHLAND RIDGEWAY, TAMPA, FL, 33647 |
| Address: | 38056 DAUGHTERY ROAD, TAMPA, ZEPHYRHILLS, FL, 33540, UN |
| ZIP code: | 33540 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497966410 | 2007-05-24 | 2009-11-26 | 38056 DAUGHTERY RD, ZEPHYRHILLS, FL, 335401375, US | 38056 DAUGHTERY RD, ZEPHYRHILLS, FL, 335401375, US | |||||||||||||||||||
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| Phone | +1 813-782-5801 |
| Fax | 8137825732 |
Authorized person
| Name | VIJAY FERRIS |
| Role | PHYSICIAN |
| Phone | 8137825801 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME61884 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VIJAY FERRIS MD PA 401(K) PLAN | 2009 | 203575673 | 2010-05-27 | VIJAY FERRIS MD PA | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 203575673 |
| Plan administrator’s name | VIJAY FERRIS MD PA |
| Plan administrator’s address | 9132 HIGHLAND RIDGE WAY, TAMPA, FL, 33647 |
| Administrator’s telephone number | 8139910158 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-26 |
| Name of individual signing | RASHMI FERRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FERRIS RASHMI | Agent | 9132 HIGHLAND RIDGEWAY, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| FERRIS VIJAY | President | 9132 HIGHLAND RIDGEWAY, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| FERRIS VIJAY | Director | 9132 HIGHLAND RIDGEWAY, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-28 | 38056 DAUGHTERY ROAD, TAMPA, ZEPHYRHILLS, FL 33540 UN | No data |
| CANCEL ADM DISS/REV | 2007-04-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-28 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-02-10 |
| ANNUAL REPORT | 2008-04-28 |
| REINSTATEMENT | 2007-04-26 |
| Domestic Profit | 2005-10-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
