| Entity Name: | HARISH KHER, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Sep 2014 (10 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P14000075660 |
| FEI/EIN Number | 30-0846098 |
| Address: | 601 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL 32114 |
| Mail Address: | 601 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538263264 | 2006-09-12 | 2015-07-27 | 601 N CLYDE MORRIS BLVD, SUITE C, DAYTONA BEACH, FL, 32114, US | 601 N CLYDE MORRIS BLVD, SUITE C, DAYTONA BEACH, FL, 32114, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-257-4777 |
| Fax | 3862574776 |
Authorized person
| Name | DR. HARISH KHER |
| Role | MD |
| Phone | 3862574777 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME42946 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 275939000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 040772100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KHER, HARISH, MD | Agent | 601 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| KHER, HARISH, MD | President | 601 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-06-25 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-07-14 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-04-27 |
| Domestic Profit | 2014-09-12 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
