| Entity Name: | SOHAM PATEL M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 May 2018 (7 years ago) |
| Document Number: | P18000041990 |
| FEI/EIN Number | 82-5514941 |
| Address: | 27415 CASHFORD CIRCLE, STE # 102, WESLEY CHAPEL, FL 33544 |
| Mail Address: | 27415 CASHFORD CIRCLE, STE # 102, WESLEY CHAPEL, FL 33544 |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467946988 | 2018-06-18 | 2024-05-06 | 27415 CASHFORD CIR STE 102, WESLEY CHAPEL, FL, 335446973, US | 27415 CASHFORD CIR STE 102, WESLEY CHAPEL, FL, 335446973, US | |||||||||||||||||||
|
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| Phone | +1 813-670-3228 |
| Fax | 8134637972 |
Authorized person
| Name | SOHAM PRAVINKUMAR PATEL |
| Role | PHYSICIAN/OWNER |
| Phone | 8136703228 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | ME122811 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL, SOHAM | Agent | 802 VISCOUNT ST, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| PATEL, JESSICA | Manager | 802 VISCOUNT ST, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| PATEL, SOHAM PRAVINKUMAR | President | 802 VISCOUNT ST, BRANDON, FL 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000070165 | CENTER FOR PREVENTIVE ENDOCRINOLOGY AND NUTRITION | ACTIVE | 2018-06-20 | 2028-12-31 | No data | 27415 CASHFORD CIR SUITE 102, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-09-06 | 27415 CASHFORD CIRCLE, STE # 102, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-02-10 |
| Domestic Profit | 2018-05-07 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
