Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33626
    5. ›
  5. WESTCHASE GASTROENTEROLOGY, P.A.

WESTCHASE GASTROENTEROLOGY, P.A.

Company Details

Entity Name: WESTCHASE GASTROENTEROLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Oct 2006 (18 years ago)
Document Number: P06000137058
FEI/EIN Number 223945801
Address: 11912 sheldon road, tampa, FL, 33626, US
Mail Address: 11912 SHELDON RD., TAMPA, FL, 33626, US
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356540785 2007-07-16 2007-12-06 11912 SHELDON RD STE B, TAMPA, FL, 336263643, US 11912 SHELDON RD STE B, TAMPA, FL, 336263643, US

Contacts
Phone +1 813-920-8882
Fax 8139208883

Authorized person
Name JOHN CHANG
Role OWNER
Phone 8139208882

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer STATE LIC NUMBER
Number ME66502
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTCHASE GASTROENTEROLOGY PA ROTH SAFEHARBOR 401K 2015 223945801 2016-07-21 WESTCHASE GASTROENTEROLOGY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-30
Business code 621111
Sponsor’s telephone number 8139208882
Plan sponsor’s address 11912 SHELDON RD. SUITE B, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2016-06-23
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-23
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
WESTCHASE GASTROENTEROLOGY PA ROTH SAFEHARBOR 401K 2014 223945801 2015-09-28 WESTCHASE GASTROENTEROLOGY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-30
Business code 621111
Sponsor’s telephone number 8139208882
Plan sponsor’s address 11912 SHELDON RD. SUITE B, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2015-09-21
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-21
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
WESTCHASE GASTROENTEROLOGY PA ROTH SAFEHARBOR 401K PROFIT SHARING PLAN & TRUST 2013 223945801 2014-09-25 WESTCHASE GASTROENTEROLOGY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-30
Business code 621111
Sponsor’s telephone number 8139208882
Plan sponsor’s address 11912 SHELDON RD. SUITE B, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-25
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
WESTCHASE GASTROENTEROLOGY PA ROTH SAFEHARBOR 401 PROFIT SHARING PLAN & TRUST 2012 223945801 2013-10-03 WESTCHASE GASTROENTEROLOGY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-30
Business code 621111
Sponsor’s telephone number 8139208882
Plan sponsor’s address 11912 SHELDON RD. SUITE B, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
WESTCHASE GASTROENTEROLOGY PA ROTH SAFEHARBOR 401 PROFIT SHARING PLAN & TRUST 2011 223945801 2012-09-13 WESTCHASE GASTROENTEROLOGY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-30
Business code 621111
Sponsor’s telephone number 8139208882
Plan sponsor’s address 11912 SHELDON RD. SUITE B, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 223945801
Plan administrator’s name WESTCHASE GASTROENTEROLOGY, P.A.
Plan administrator’s address 11912 SHELDON RD. SUITE B, TAMPA, FL, 33626
Administrator’s telephone number 8139208882

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-13
Name of individual signing JOHN CHANG, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
chang john Agent 11912 SHELDON RD., TAMPA, FL, 33626

President

Name Role Address
CHANG JOHN President 11912 SHELDON RD., TAMPA, FL, 33626

Secretary

Name Role Address
CHANG JOHN Secretary 11912 SHELDON RD., TAMPA, FL, 33626

Treasurer

Name Role Address
CHANG JOHN Treasurer 11912 SHELDON RD., TAMPA, FL, 33626

Director

Name Role Address
CHANG JOHN Director 11912 SHELDON RD., TAMPA, FL, 33626

Vice President

Name Role Address
AWAD AMIR T Vice President 11912 sheldon road, tampa, FL, 33626

mgr

Name Role Address
mendoza alfredo mgr 11912 SHELDON RD., TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-15 11912 sheldon road, tampa, FL 33626 No data
REGISTERED AGENT NAME CHANGED 2015-01-07 chang, john No data
REGISTERED AGENT ADDRESS CHANGED 2014-01-10 11912 SHELDON RD., TAMPA, FL 33626 No data
CHANGE OF MAILING ADDRESS 2013-03-20 11912 sheldon road, tampa, FL 33626 No data

Documents

Name Date
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-02
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-01-07

Related by officers

CHANG JOHN

CLEAN FOCUS MANAGEMENT, LLC ONVANTAGE, INC. COGENT COMMUNICATIONS OF FLORIDA LHC, INC.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated