| Entity Name: | NICHI ENTERPRISES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jan 2011 (14 years ago) |
| Date of dissolution: | 30 Dec 2016 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Dec 2016 (8 years ago) |
| Document Number: | P11000007340 |
| FEI/EIN Number | 900653135 |
| Address: | 1151 BLACKWOOD AVE, STE 170, OCOEE, FL, 34761 |
| Mail Address: | PO Box 2727, Oldsmar, FL, 34677, US |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205125069 | 2011-04-01 | 2011-08-25 | 1151 BLACKWOOD AVE, SUITE 170, OCOEE, FL, 347614550, US | 1151 BLACKWOOD AVE, SUITE 170, OCOEE, FL, 347614550, US | |||||||||||||||||||||||||
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| Phone | +1 407-347-8339 |
| Fax | 4073478394 |
Authorized person
| Name | DR. SYED HADI SHAH |
| Role | PRESIDENT |
| Phone | 4073478339 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | ME108175 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003696100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH SYED HM.D. | Agent | 1151 BLACKWOOD AVE, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| NICHIPORENKO IGOR M | Vice President | 1151 BLACKWOOD AVE, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| NICHIPORENKO IGOR M | Treasurer | 1151 BLACKWOOD AVE, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| NICHIPORENKO IGOR M | Secretary | 1151 BLACKWOOD AVE, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| SHAH SYED HM.D. | President | 1151 BLACKWOOD AVE, OCOEE, FL, 34761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000108958 | CENTRAL FLORIDA SPORTS MEDICINE | EXPIRED | 2014-10-28 | 2019-12-31 | No data | 1151 BLACKWOOD AVENUE, SUITE 170, OCOEE, FL, 34761 |
| G13000117068 | INTEGRATIVE PHYSICAL MEDICINE OF OCOEE | EXPIRED | 2013-12-02 | 2018-12-31 | No data | 1151 BLACKWOOD AVE STE 170, OCOEE, FL, 34761 |
| G11000062476 | CENTRAL FLORIDA MEDICAL CENTER | EXPIRED | 2011-06-21 | 2016-12-31 | No data | 1151 BLACKWOOD AVENUE, SUITE 170, OCOEE, FL, 34761 |
| G11000017692 | CENTRAL FLORIDA PERSONAL INJURY & SPORTS MEDICINE | EXPIRED | 2011-02-16 | 2016-12-31 | No data | 1151 BLACKWOOD AVE, SUITE 170, OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-12-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-12 | 1151 BLACKWOOD AVE, STE 170, OCOEE, FL 34761 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-01 | SHAH, SYED H , M.D. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-25 | 1151 BLACKWOOD AVE, STE 170, OCOEE, FL 34761 | No data |
| AMENDMENT | 2011-04-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-25 | 1151 BLACKWOOD AVE, STE 170, OCOEE, FL 34761 | No data |
| AMENDMENT | 2011-03-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-01 |
| ANNUAL REPORT | 2014-03-11 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-02-01 |
| Amendment | 2011-04-25 |
| Amendment | 2011-03-07 |
| Domestic Profit | 2011-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
