| Entity Name: | WEST FLORIDA NEUROSURGICAL ASSOCIATES P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Mar 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P22000022791 |
| Address: | 13910 FIVAY RD, SUITE 2, HUDSON, FL, 34667, US |
| Mail Address: | 13910 FIVAY RD, SUITE 2, HUDSON, FL, 34667, US |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770209280 | 2022-10-17 | 2022-10-21 | 13910 FIVAY RD STE 2, HUDSON, FL, 346677130, US | 13910 FIVAY RD STE 2, HUDSON, FL, 346677130, US | |||||||||||||
|
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| Phone | +1 774-671-0001 |
Authorized person
| Name | MIAN M SHAH |
| Role | PRESIDENT |
| Phone | 7746170001 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH MOHSIN | Agent | 13910 FIVAY RD, HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| SHAH MOHSIN | President | 13910 FIVAY RD SUITE 2, HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| SHAH MOHSIN | Secretary | 13910 FIVAY RD SUITE 2, HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| SHAH MOHSIN | Treasurer | 13910 FIVAY RD SUITE 2, HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| SHAH MOHSIN | Director | 13910 FIVAY RD SUITE 2, HUDSON, FL, 34667 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000048781 | WEST FLORIDA NEUROSURGERY | ACTIVE | 2022-04-18 | 2027-12-31 | No data | 13910 FIVAY RD, STE 2, HUDSON, FL, 34667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2022-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
