| Entity Name: | CHIRAG BAKULESH PATEL, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CHIRAG BAKULESH PATEL, MD PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Apr 2013 (12 years ago) |
| Date of dissolution: | 13 Nov 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 13 Nov 2018 (6 years ago) |
| Document Number: | P13000034105 |
| FEI/EIN Number |
46-2562727
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL, 34747-1764, US |
| Mail Address: | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL, 34747-1764, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417299454 | 2013-03-16 | 2013-09-04 | 1519 LEXINGTON AVE, DAVENPORT, FL, 338371706, US | 295 PATTERSON RD, SUITE A, HAINES CITY, FL, 338446247, US | |||||||||||||||||||||||||||
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| Phone | +1 848-219-4857 |
| Fax | 8666961224 |
| Phone | +1 863-422-4338 |
Authorized person
| Name | DR. CHIRAG PATEL |
| Role | PRESIDENT |
| Phone | 8482194857 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME98613 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280991500 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHIRAG BAKULESH PATEL MD PA 401K PROFIT SHARING PLAN AND TRUST | 2017 | 462562727 | 2018-04-20 | CHIRAG BAKULESH PATEL MD PA | 10 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-04-20 |
| Name of individual signing | SWATI PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-04-20 |
| Name of individual signing | SWATI PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8634224338 |
| Plan sponsor’s address | 295 PATTERSON ROAD, HAINES CITY, FL, 33844 |
Signature of
| Role | Plan administrator |
| Date | 2017-08-14 |
| Name of individual signing | TINA KEENE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8634224338 |
| Plan sponsor’s address | 1519 LEXINGTON AVE, DAVENPORT, FL, 33837 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-22 |
| Name of individual signing | CHIRAG PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8634224338 |
| Plan sponsor’s address | 295 PATTERSON RD, HAINES CITY, FL, 33844 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-01 |
| Name of individual signing | CHIRAG PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PATEL SWATI | President | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL, 347471764 |
| PATEL SWATI | Agent | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL, 347471764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2018-11-13 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-02 | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL 34747-1764 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-12 | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL 34747-1764 | - |
| CHANGE OF MAILING ADDRESS | 2017-10-12 | 7862 W IRLO BRONSON HWY, #425, KISSIMMEE, FL 34747-1764 | - |
| AMENDMENT | 2017-08-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-08-22 | PATEL, SWATI | - |
| Name | Date |
|---|---|
| CORAPVDWN | 2018-11-13 |
| ANNUAL REPORT | 2018-04-02 |
| Amendment | 2017-08-22 |
| ANNUAL REPORT | 2017-07-04 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-28 |
| Domestic Profit | 2013-04-16 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
