| Entity Name: | MIKSHA PATEL MD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Nov 2021 (3 years ago) |
| Document Number: | P21000097140 |
| FEI/EIN Number | 87-3529370 |
| Address: | 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 |
| Mail Address: | 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093426207 | 2022-12-08 | 2022-12-08 | 550 S OCEAN BLVD APT 1406, BOCA RATON, FL, 334326247, US | 201 E SAMPLE RD, DEERFIELD BEACH, FL, 330643502, US | |||||||||||||||
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| Phone | +1 516-626-8318 |
| Phone | +1 954-941-8300 |
Authorized person
| Name | MIKSHA PATEL |
| Role | OWNER |
| Phone | 5166397002 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL, MIKSHA | Agent | 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 |
| Name | Role | Address |
|---|---|---|
| PATEL, MIKSHA | Manager | 550 S OCEAN BLVD., Apt # 1406 BOCA RATON, FL 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-04 | 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-04 | 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-04 | 550 S OCEAN BLVD., Apt # 1406, BOCA RATON, FL 33432 | No data |
| 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 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
