| Entity Name: | AMIT I. SHAH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
AMIT I. SHAH, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 11 Feb 1998 (27 years ago) |
| Date of dissolution: | 22 Dec 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Dec 2014 (10 years ago) |
| Document Number: | P98000013627 |
| FEI/EIN Number |
650826332
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4420 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| Mail Address: | 4420 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881733772 | 2007-02-06 | 2008-11-05 | 4420 SUN N LAKE BLVD, SEBRING, FL, 338722164, US | 4420 SUN N LAKE BLVD, SEBRING, FL, 338722164, US | |||||||||||||||||||||||||
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| Phone | +1 863-385-1244 |
| Fax | 8633856086 |
Authorized person
| Name | MS. THERESA MARTINEZ |
| Role | FINANCIAL SERVICES |
| Phone | 8633851244 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME48069 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 045758200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH AMIT I | President | 4420 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| SHAH AMIT I | Director | 4420 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| SHAH PARUL | Secretary | 4420 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| SHAH PARUL | Treasurer | 4420 SUN N LAKE BLVD, SEBRING, FL, 33872 |
| AHMED SYED | President | 4420 SUN N LAKE BLVD., SEBRING, FL, 33872 |
| AHMED SYED | Director | 4420 SUN N LAKE BLVD., SEBRING, FL, 33872 |
| SHAH AMIT I | Agent | 4420 SUN N LAKE BOULEVARD, SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-23 | 4420 SUN N LAKE BOULEVARD, SEBRING, FL 33872 | - |
| REGISTERED AGENT NAME CHANGED | 2009-02-23 | SHAH, AMIT I | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-10-03 | 4420 SUN N LAKE BLVD, SEBRING, FL 33872 | - |
| CHANGE OF MAILING ADDRESS | 2005-10-03 | 4420 SUN N LAKE BLVD, SEBRING, FL 33872 | - |
| CANCEL ADM DISS/REV | 2005-10-03 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| AMENDMENT AND NAME CHANGE | 1998-02-27 | AMIT I. SHAH, M.D., P.A. | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2014-12-22 |
| ANNUAL REPORT | 2014-03-21 |
| ANNUAL REPORT | 2013-02-19 |
| ANNUAL REPORT | 2012-01-30 |
| ANNUAL REPORT | 2011-01-26 |
| ANNUAL REPORT | 2010-02-25 |
| ANNUAL REPORT | 2009-02-23 |
| ANNUAL REPORT | 2008-07-31 |
| ANNUAL REPORT | 2007-01-31 |
| ANNUAL REPORT | 2006-01-17 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
