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SUNCOAST HEART CLINIC, P.A.

Company Details

Entity Name: SUNCOAST HEART CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Jul 1998 (27 years ago)
Document Number: P98000062592
FEI/EIN Number 593521979
Address: 14039 Pointe Anne Drive, Odessa, FL, 33556-4301, US
Mail Address: 14039 Pointe Anne Drive, Odessa, FL, 33556-4301, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316968472 2006-07-22 2011-08-12 5537 GULF DR, NEW PORT RICHEY, FL, 346524021, US 5537 GULF DR, NEW PORT RICHEY, FL, 346524021, US

Contacts
Phone +1 727-849-2600
Fax 7278477703

Authorized person
Name DR. AKSHAY DHIRUBHAI DESAI
Role PHYSICIAN
Phone 7278492600

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME103805
State FL
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME42408
State FL
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME95837
State FL
Is Primary No
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number ME42408
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BC/BS OF FL
Number 000LX
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNCOAST HEART CLINIC, P. A. PENSION PLAN 2015 593521979 2016-05-23 SUNCOAST HEART CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 14039 POINTE ANNE DRIVE, ODESSA, FL, 33556

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-23
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P. A. PENSION PLAN 2015 593521979 2016-05-27 SUNCOAST HEART CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 14039 POINTE ANNE DRIVE, ODESSA, FL, 33556

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-27
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P. A. PROFIT SHARING PLAN 2015 593521979 2016-04-07 SUNCOAST HEART CLINIC, P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7278089004
Plan sponsor’s address 14039 POINT ANNE DR, ODESSA, FL, 335564301

Signature of
Role Plan administrator
Date 2016-04-07
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-07
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P. A. PENSION PLAN 2014 593521979 2015-10-01 SUNCOAST HEART CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 14039 POINTE ANNE DRIVE, ODESSA, FL, 33556

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P. A. PROFIT SHARING PLAN 2014 593521979 2015-08-25 SUNCOAST HEART CLINIC, P. A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7278089004
Plan sponsor’s address 14039 POINT ANNE DR, ODESSA, FL, 335564301

Signature of
Role Plan administrator
Date 2015-08-25
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P.A. PENSION PLAN 2013 593521979 2014-10-09 SUNCOAST HEART CLINIC, P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 14039 POINTE ANNE DR., ODESSA, FL, 33556

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing ASHKAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P.A. PROFIT SHARING PLAN 2013 593521979 2014-10-09 SUNCOAST HEART CLINIC, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 14039 POINT ANNE DR, ODESSA, FL, 335564301

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P.A. PROFIT SHARING PLAN 2012 593521979 2013-10-08 SUNCOAST HEART CLINIC, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 5537 GULF DRIVE, NEW PORT RICHEY, FL, 346524021

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P.A. PENSION PLAN 2012 593521979 2013-10-08 SUNCOAST HEART CLINIC, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 5537 GULF DRIVE, NEW PORT RICHEY, FL, 346524021

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing ASHKAY D. DESAI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST HEART CLINIC, P.A. PROFIT SHARING PLAN 2011 593521979 2012-09-11 SUNCOAST HEART CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7278492600
Plan sponsor’s address 5537 GULF DRIVE, NEW PORT RICHEY, FL, 346524021

Plan administrator’s name and address
Administrator’s EIN 593521979
Plan administrator’s name SUNCOAST HEART CLINIC, P.A.
Plan administrator’s address 5537 GULF DRIVE, NEW PORT RICHEY, FL, 346524021
Administrator’s telephone number 7278492600

Signature of
Role Plan administrator
Date 2012-09-11
Name of individual signing AKSHAY D. DESAI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GASSMAN ALAN SESQ. Agent 1245 COURT STREET, CLEARWATER, FL, 33756

President

Name Role Address
DESAI AKSHAY D President 5537 GULF DRIVE, NEW PORT RICHEY, FL, 34652

Treasurer

Name Role Address
DESAI AKSHAY D Treasurer 5537 GULF DRIVE, NEW PORT RICHEY, FL, 34652

Director

Name Role Address
DESAI AKSHAY D Director 5537 GULF DRIVE, NEW PORT RICHEY, FL, 34652

Secretary

Name Role Address
DESAI AKSHAY D Secretary 5537 GULF DRIVE, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-12-15 No data No data
MERGER 2013-04-30 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000131233

Related by officers

DESAI AKSHAY D

AKSHAY D. DESAI, M.D., P.A.

GASSMAN ALAN SESQ.

ALAN S. GASSMAN, P.A. ROSS HOLDINGS,INC. PINELLAS EKG INTERPRETERS, INC. ARBORS SEASIDE COTTAGES LLC SUNSHINE HOME STAFFING AND SUPPORT, L.L.C. URGIMED NORTH, LLC URGIMED SERVICES, LLC URGIMED CENTRAL, LLC URGIMED WEST, LLC E2 DERMATOLOGY, L.L.C.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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