| Entity Name: | SA MEDICAL PHYSICIANS OF FL PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Mar 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000026212 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 9325 GLADES ROAD, SUITE 105, BOCA RATON, FL, 33434, US |
| Mail Address: | 9325 GLADES ROAD, SUITE 105, BOCA RATON, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871841585 | 2012-08-28 | 2012-08-28 | 145 ROUTE 46 WEST, SUITE 304, WAYNE, NJ, 074706830, US | 9325 GLADES RD, SUITE 105, BOCA RATON, FL, 334343988, US | |||||||||||||||||||
|
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| Phone | +1 973-826-8287 |
| Fax | 8558345435 |
| Phone | +1 561-362-4400 |
Authorized person
| Name | KHASHAYAR VOSOUGH |
| Role | MANAGING DIRECTOR |
| Phone | 9738268287 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUPTA SHAILESH | Agent | 9325 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| GUPTA SHAILESH | Manager | 9325 GLADES ROAD SUITE 105, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| VOSOUGH KHASHAYAR | Director | 145 RTE 46 W., SUITE 304, WAYNE, NJ, 07470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-06-13 |
| Domestic Profit | 2011-03-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
