| Entity Name: | OAKSTEAD PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Mar 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000043270 |
| FEI/EIN Number | 204567631 |
| Address: | 12855 DARBY RIDGE ROAD, TAMPA, FL, 33624 |
| Mail Address: | 12855 DARBY RIDGE ROAD, TAMPA, FL, 33624 |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447201736 | 2006-05-12 | 2009-01-20 | 12855 DARBY RIDGE DR, TAMPA, FL, 336244304, US | 12855 DARBY RIDGE DR, TAMPA, FL, 336244304, US | |||||||||||||||||||||||||
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| Phone | +1 813-968-9695 |
| Fax | 8132640342 |
Authorized person
| Name | MANJARI ILESH PATEL |
| Role | PRESIDENT |
| Phone | 8139689695 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME90171 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274304300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL ILESH | Agent | 12855 DARBY RIDGE ROAD, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| PATEL MANJARI | President | 12855 DARBY RIDGE RD, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-05-20 |
| Domestic Profit | 2006-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
