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GOOD SHEPHERD MEDICAL CLINIC, P.A. - Florida Company Profile

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Company Details

Entity Name: GOOD SHEPHERD MEDICAL CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Oct 1993 (32 years ago)
Date of dissolution: 23 Sep 2011 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (14 years ago)
Document Number: P93000070830
FEI/EIN Number 593204729
Address: 8425 NORTHCLIFFE BLVD, SUITE 101, SPRING HILL, FL, 34606, US
Mail Address: 8425 NORTHCLIFFE BLVD, SUITE 101, SPRING HILL, FL, 34606, US
ZIP code: 34606
City: Spring Hill
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BHATIA ANIL M President 8425 NORTHCLIFFE BLVD SUITE 108, SPRING HILL, FL, 34606
ROEBUCK MD BRIAN M Treasurer 11337 CORTEZ BLVD, BROOKSVILLE, FL, 34613
LEE ROGER M Vice President 8425 NORTHCLIFFE BLVD SUITE 107, SPRING HILL, FL, 34606
GARCIA LYNDON O Secretary 8425 NORTHCLIFFE BLVD SUITE 110, SPRING HILL, FL, 34606
CASE JAMES W Agent 8425 NORTHCLIFFE BLVD, SPRING HILL, FL, 34606

National Provider Identifier

NPI Number:
1316180409

Authorized Person:

Name:
DR. ROGER B LEE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
3525979727

Form 5500 Series

Employer Identification Number (EIN):
593204729
Plan Year:
2012
Number Of Participants:
62
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
99
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
90
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
90
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
90
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08078700032 GOOD SHEPHERD HEARING CENTER EXPIRED 2008-03-18 2013-12-31 - 8245 NORTHCLIFFE BOULEVARD, SUITE 101, SPRING HILL, FL, 34606

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2010-04-12 8425 NORTHCLIFFE BLVD, SUITE 101, SPRING HILL, FL 34606 -
CHANGE OF PRINCIPAL ADDRESS 2004-03-17 8425 NORTHCLIFFE BLVD, SUITE 101, SPRING HILL, FL 34606 -
CHANGE OF MAILING ADDRESS 2004-03-17 8425 NORTHCLIFFE BLVD, SUITE 101, SPRING HILL, FL 34606 -
REGISTERED AGENT NAME CHANGED 2003-05-15 CASE, JAMES WMR -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 1993-12-13 GOOD SHEPHERD MEDICAL CLINIC, P.A. -

Documents

Name Date
ANNUAL REPORT 2010-04-12
ANNUAL REPORT 2009-04-08
ANNUAL REPORT 2008-01-28
ANNUAL REPORT 2007-04-30
ANNUAL REPORT 2006-01-20
ANNUAL REPORT 2005-07-05
ANNUAL REPORT 2004-03-17
ANNUAL REPORT 2003-05-15
ANNUAL REPORT 2002-05-13
ANNUAL REPORT 2001-05-11

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Date of last update: 01 Aug 2025

Sources: Florida Department of State