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  5. MD PRIMARY CARE INC

MD PRIMARY CARE INC

Company Details

Entity Name: MD PRIMARY CARE INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Aug 2019 (5 years ago)
Document Number: P19000065989
FEI/EIN Number 84-2824433
Address: 2215 Nebraska avenue, Suite # 2B, Fort Pierce, FL 34950
Mail Address: 2215 Nebraska avenue, Suite # 2B, Fort Pierce, FL 34950
ZIP code: 34950
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033766027 2019-08-23 2019-08-23 8113 KIAWAH TRCE, PORT ST LUCIE, FL, 349863026, US 2215 NEBRASKA AVE STE 2-B, FORT PIERCE, FL, 349504866, US

Contacts
Phone +1 619-398-6333
Fax 8884367197
Phone +1 772-302-3767

Authorized person
Name DR. CHINTAN B SHAH
Role CEO
Phone 6193986333

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MD PRIMARY CARE INC PROFIT SHARING PLAN 2023 842824433 2024-10-14 MD PRIMARY CARE INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-09-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC CASH BALANCE PLAN 2023 842824433 2024-10-14 MD PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC PROFIT SHARING PLAN 2022 842824433 2023-10-11 MD PRIMARY CARE INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-09-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC CASH BALANCE PLAN 2022 842824433 2023-10-11 MD PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC CASH BALANCE PLAN 2021 842824433 2022-10-14 MD PRIMARY CARE INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC PROFIT SHARING PLAN 2021 842824433 2022-10-14 MD PRIMARY CARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-09-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC PROFIT SHARING PLAN 2020 842824433 2021-10-06 MD PRIMARY CARE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-09-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC CASH BALANCE PLAN 2020 842824433 2021-10-01 MD PRIMARY CARE INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing CHINTAN SHAH
Valid signature Filed with authorized/valid electronic signature
MD PRIMARY CARE INC PROFIT SHARING PLAN 2019 842824433 2020-07-28 MD PRIMARY CARE INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-09-01
Business code 621111
Sponsor’s telephone number 6193986333
Plan sponsor’s address 8113 KIAWAH TRACE, PORT ST. LUCIE, FL, 34986

Agent

Name Role Address
SHAH, CHINTAN Agent 8113 KIAWAH TRCE, PORT ST LUCIE, FL 34986

President

Name Role Address
SHAH, CHINTAN President 8113 KIAWAH TER, PORT ST LUCIE, FL 34986

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000091239 MD HOSPITAL CARE EXPIRED 2019-08-23 2024-12-31 No data 9858 CLINT MOORE RD, SUITE C111-131, BOCA RATON, FL, 33496

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-29 SHAH, CHINTAN No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-29 8113 KIAWAH TRCE, PORT ST LUCIE, FL 34986 No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-29 2215 Nebraska avenue, Suite # 2B, Fort Pierce, FL 34950 No data
CHANGE OF MAILING ADDRESS 2020-06-29 2215 Nebraska avenue, Suite # 2B, Fort Pierce, FL 34950 No data

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-29
Domestic Profit 2019-08-16

Related by officers

SHAH, CHINTAN

CHINTAN SHAH, MD LLC SMART FARMERS INVESTMENTS INC CAPP REALTY GROUP LLC DOC AESTHETICS.LLC MUNSTERMED INC

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Florida Department of State

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