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MIKSHA PATEL MD, INC. - Florida Company Profile

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Company Details

Entity Name: MIKSHA PATEL MD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Nov 2021 (4 years ago)
Document Number: P21000097140
FEI/EIN Number 87-3529370
Address: 550 S OCEAN BLVD., BOCA RATON, FL, 33432, US
Mail Address: 550 S OCEAN BLVD., BOCA RATON, FL, 33432, US
ZIP code: 33432
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PATEL MIKSHA Manager 550 S OCEAN BLVD., BOCA RATON, FL, 33432
PATEL MIKSHA Agent 550 S OCEAN BLVD., BOCA RATON, FL, 33432

National Provider Identifier

NPI Number:
1093426207
Certification Date:
2022-12-08

Authorized Person:

Name:
MIKSHA PATEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-04 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 -
CHANGE OF MAILING ADDRESS 2023-01-04 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-04 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-04
ANNUAL REPORT 2022-07-20
Domestic Profit 2021-11-12

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Date of last update: 01 Aug 2025

Sources: Florida Department of State