| Entity Name: | BELAVINASH INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Aug 2006 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Dec 2012 (12 years ago) |
| Document Number: | P06000108220 |
| FEI/EIN Number | 841715746 |
| Address: | 3851 NORTHDALE BLVD, TAMPA, FL, 33624, US |
| Mail Address: | 1812 W Bearss Ave, Tampa, FL, 33613, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841389525 | 2006-10-12 | 2018-07-17 | 3851 NORTHDALE BLVD, TAMPA, FL, 336241861, US | 3851 NORTHDALE BLVD, TAMPA, FL, 33624, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-264-6300 |
| Fax | 8132646336 |
Authorized person
| Name | AVINASH SHARMA |
| Role | PRESIDENT PHARMACIST |
| Phone | 8138173627 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22293 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031832901 |
| State | FL |
| Issuer | PK |
| Number | 2007715 |
| Name | Role | Address |
|---|---|---|
| SHARMA AVINASH K | Agent | 1812 W Bearss Ave, Tampa, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| SHARMA AVINASH K | President | 1812 W Bearss Ave, Tampa, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| SHARMA BELA | Vice President | 1812 W Bearss Ave, Tampa, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-01-03 | 3851 NORTHDALE BLVD, TAMPA, FL 33624 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-03 | 1812 W Bearss Ave, Tampa, FL 33613 | No data |
| REINSTATEMENT | 2012-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-08-12 | 3851 NORTHDALE BLVD, TAMPA, FL 33624 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-05 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
