| Entity Name: | PINELLAS NURSING HOME PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2016 (9 years ago) |
| Date of dissolution: | 30 May 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 May 2019 (6 years ago) |
| Document Number: | P16000059718 |
| FEI/EIN Number | 59-3730807 |
| Address: | 2595 TAMPA ROAD, SUITE D, PALM HARBOR, FL, 34684, US |
| Mail Address: | 2595 TAMPA ROAD, SUITE D, PALM HARBOR, FL, 34684, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083069272 | 2016-04-26 | 2016-04-26 | 2595 TAMPA RD STE D, PALM HARBOR, FL, 346843130, US | 2595 TAMPA RD STE D, PALM HARBOR, FL, 346843130, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 727-773-8884 |
| Fax | 7277845449 |
Authorized person
| Name | DR. PANKAJ K JOSHI |
| Role | PHYSICIAN |
| Phone | 7277738884 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME77230 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSHI PANKAJ | Agent | 2595 TAMPA ROAD, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| JOSHI PANKAJ | President | 2595 TEMPA ROAD SUITE D, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-11 | 2595 TAMPA ROAD, SUITE D, PALM HARBOR, FL 34684 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-11 | 2595 TAMPA ROAD, SUITE D, PALM HARBOR, FL 34684 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-11 | 2595 TAMPA ROAD, SUITE D, PALM HARBOR, FL 34684 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-30 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-03-11 |
| Domestic Profit | 2016-07-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
