Entity Name: | SAHAI PEDIATRICS, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Oct 2007 (17 years ago) |
Document Number: | P07000111842 |
FEI/EIN Number | 352311767 |
Address: | 750 W GRANADA BLVD, ORMOND BCH, FL, 32174 |
Mail Address: | 750 W GRANADA BLVD, ORMOND BCH, FL, 32174 |
ZIP code: | 32174 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1376723031 | 2007-11-10 | 2007-11-10 | 750 W GRANADA BLVD, ORMOND BEACH, FL, 321745108, US | 750 W GRANADA BLVD, ORMOND BEACH, FL, 321745108, US | |||||||||||||||||||||||||
|
Phone | +1 386-677-0780 |
Fax | 3866770855 |
Authorized person
Name | DR. STEVEN HENREY SAHAI |
Role | OWNER |
Phone | 3866770780 |
Taxonomy
Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
License Number | ME58322 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 05816400 |
State | FL |
Name | Role | Address |
---|---|---|
SAHAI STEVEN HENRY M | Agent | 750 W GRANADA BLVD, ORMOND BCH, FL, 32174 |
Name | Role | Address |
---|---|---|
SAHAI STEVEN HENRY | President | 750 W GRANADA BLVD, ORMOND BCH, FL, 32174 |
Name | Role | Address |
---|---|---|
SAHAI STEVEN HENRY | Secretary | 750 W GRANADA BLVD, ORMOND BCH, FL, 32174 |
Name | Role | Address |
---|---|---|
SAHAI STEVEN HENRY | Treasurer | 750 W GRANADA BLVD, ORMOND BCH, FL, 32174 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-25 |
ANNUAL REPORT | 2024-01-25 |
ANNUAL REPORT | 2023-01-18 |
ANNUAL REPORT | 2022-01-26 |
ANNUAL REPORT | 2021-01-14 |
ANNUAL REPORT | 2020-01-16 |
ANNUAL REPORT | 2019-02-06 |
ANNUAL REPORT | 2018-01-13 |
ANNUAL REPORT | 2017-01-06 |
ANNUAL REPORT | 2016-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State