| Entity Name: | SPECIALISTS IN PRIMARY HEALTHCARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Dec 1990 (34 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | S22031 |
| FEI/EIN Number | 65-0232812 |
| Address: | 5030 MASON CORBIN CT, FT MYERS, FL 33907 |
| Mail Address: | 5030 MASON CORBIN CT, FT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184708935 | 2006-10-25 | 2010-09-02 | 5030 MASON CORBIN CT, SUITE B, FORT MYERS, FL, 339074548, US | 5030 MASON CORBIN CT, SUITE A, FORT MYERS, FL, 339074541, US | |||||||||||||||||||||
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| Phone | +1 239-278-0330 |
| Fax | 2392781348 |
Authorized person
| Name | TEJVIR S CHADHA |
| Role | PRESIDENT |
| Phone | 2392780330 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370862400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHADHA, TEJVIR S., MD | Agent | 5030 MASON CORBIN CT, FT. MYERS,, FL 33907 |
| Name | Role | Address |
|---|---|---|
| CHADHA, TEJVIR S, MD | Director | 5030 MASON CORBIN CT, FT MYERS, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| NAME CHANGE AMENDMENT | 2014-01-10 | SPECIALISTS IN PRIMARY HEALTHCARE, INC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1994-02-07 | 5030 MASON CORBIN CT, FT. MYERS,, FL 33907 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1994-02-07 | 5030 MASON CORBIN CT, FT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 1994-02-07 | 5030 MASON CORBIN CT, FT MYERS, FL 33907 | No data |
| NAME CHANGE AMENDMENT | 1993-04-16 | SPECIALISTS IN HEALTHCARE, P.A. | No data |
| REGISTERED AGENT NAME CHANGED | 1992-02-28 | CHADHA, TEJVIR S., MD | No data |
| AMENDMENT AND NAME CHANGE | 1991-12-11 | SPECIALISTS IN PRIMARY HEALTHCARE, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-08 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-17 |
| Name Change | 2014-01-10 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-04-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
