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PARVEEN S VAHORA MD PA

Company Details

Entity Name: PARVEEN S VAHORA MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Oct 2005 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Oct 2017 (7 years ago)
Document Number: P05000141085
FEI/EIN Number 203653779
Address: 1660 GULF BAY BLVD, CLEARWATER BEACH, FL, 33767, US
Mail Address: 1660 GULF BAY BLVD, CLEARWATER BEACH, FL, 33767, US
ZIP code: 33767
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700083870 2007-07-01 2021-06-01 9332 STATE ROAD, SUITE 403, NEW PORT RICHEY, FL, 34655, US 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 346551810, US

Contacts

Phone +1 727-376-1536
Fax 7273761539

Authorized person

Name DR. PARVEEN SULTANA VAHORA
Role PRESIDENT
Phone 7273761536

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME90987
State FL
Is Primary No
Taxonomy Code 207VG0400X - Gynecology Physician
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number ME90987
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARVEEN S. VAHORA MD PA 401(K) P/S PLAN 2021 203653779 2022-03-02 PARVEEN S. VAHORA MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2157710196
Plan sponsor’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655

Plan administrator’s name and address

Administrator’s EIN 203653779
Plan administrator’s name PARVEEN S. VAHORA MD PA
Plan administrator’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655
Administrator’s telephone number 2157710196

Signature of

Role Plan administrator
Date 2022-03-02
Name of individual signing PARVEEN VAHORA
Valid signature Filed with authorized/valid electronic signature
PARVEEN S. VAHORA MD PA 401(K) P/S PLAN 2020 203653779 2021-05-12 PARVEEN S. VAHORA MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2157710196
Plan sponsor’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655

Plan administrator’s name and address

Administrator’s EIN 203653779
Plan administrator’s name PARVEEN S. VAHORA MD PA
Plan administrator’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655
Administrator’s telephone number 2157710196

Signature of

Role Plan administrator
Date 2021-05-12
Name of individual signing PARVEEN VAHORA
Valid signature Filed with authorized/valid electronic signature
PARVEEN S. VAHORA MD PA 401(K) P/S PLAN 2019 203653779 2020-06-20 PARVEEN S. VAHORA MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2157710196
Plan sponsor’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655

Plan administrator’s name and address

Administrator’s EIN 203653779
Plan administrator’s name PARVEEN S. VAHORA MD PA
Plan administrator’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655
Administrator’s telephone number 2157710196

Signature of

Role Plan administrator
Date 2020-06-20
Name of individual signing PARVEEN VAHORA
Valid signature Filed with authorized/valid electronic signature
PARVEEN S. VAHORA MD PA 401(K) P/S PLAN 2018 203653779 2020-01-07 PARVEEN S. VAHORA MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2157710196
Plan sponsor’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655

Plan administrator’s name and address

Administrator’s EIN 203653779
Plan administrator’s name PARVEEN S. VAHORA MD PA
Plan administrator’s address 9332 STATE ROAD 54 STE 403, NEW PORT RICHEY, FL, 34655
Administrator’s telephone number 2157710196

Signature of

Role Plan administrator
Date 2020-01-07
Name of individual signing PARVEEN VAHORA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VAHORA PARVEEN S Agent 1660 GULF BAY BLVD, CLEARWATER BEACH, FL, 33767

President

Name Role Address
VAHORA PARVEEN SDr. President 1660 GULF BAY BLVD, CLEARWATER BEACH, FL, 33767

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-03 1660 GULF BAY BLVD, APT #807, CLEARWATER BEACH, FL 33767 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-03 1660 GULF BAY BLVD, APT #807, CLEARWATER BEACH, FL 33767 No data
CHANGE OF MAILING ADDRESS 2022-02-03 1660 GULF BAY BLVD, APT #807, CLEARWATER BEACH, FL 33767 No data
REINSTATEMENT 2017-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REINSTATEMENT 2016-04-29 No data No data
REGISTERED AGENT NAME CHANGED 2016-04-29 VAHORA, PARVEEN SD No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
NAME CHANGE AMENDMENT 2009-08-31 PARVEEN S VAHORA MD PA No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-24
ANNUAL REPORT 2018-01-11
REINSTATEMENT 2017-10-07
REINSTATEMENT 2016-04-29
ANNUAL REPORT 2014-01-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State