| Entity Name: | EMERGENCY AND INTERVENTIONAL SPECIALISTS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Dec 2019 (5 years ago) |
| Document Number: | P19000090260 |
| FEI/EIN Number | 84-3935283 |
| Address: | 5626 Gulf Dr, New Port Richey, FL, 34652, US |
| Mail Address: | 5626 Gulf Dr, New Port Richey, FL, 34652, US |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | EMERGENCY AND INTERVENTIONAL SPECIALISTS INC., KENTUCKY | 1090133 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871100917 | 2020-09-23 | 2020-09-23 | 5626 GULF DR STE 100, NEW PORT RICHEY, FL, 346524020, US | 5626 GULF DR STE 100, NEW PORT RICHEY, FL, 346524020, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 727-841-8212 |
| Fax | 7278356276 |
Authorized person
| Name | DEEPAK DAS |
| Role | OWNER/PRESIDENT |
| Phone | 7278418212 |
Taxonomy
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAS DEEPAK M.D. | Agent | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| DAS DEEPAK M.D. | President | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| SHAH MANASI SAMIR M.D. | President | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| DAS DEEPAK M.D. | Secretary | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| DAS DEEPAK M.D. | Treasurer | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| DAS DEEPAK M.D. | Director | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| SHAH MANASI SAMIR M.D. | Director | 288 BEACH DRIVE NORTHEAST APT 11C, SAINT PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-18 | 5626 Gulf Dr, 100, New Port Richey, FL 34652 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-18 | 5626 Gulf Dr, 100, New Port Richey, FL 34652 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-05-31 |
| Domestic Profit | 2019-12-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
