Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33614
    5. ›
  5. CARROLLWOOD SURGICAL ASSOCIATES, P.A.

CARROLLWOOD SURGICAL ASSOCIATES, P.A.

Company Details

Entity Name: CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Sep 1991 (33 years ago)
Document Number: S78251
FEI/EIN Number 593084472
Address: 6919 N DALE MABRY HWY, TAMPA, FL, 33614, US
Mail Address: 6919 N DALE MABRY HWY, TAMPA, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2016 593084472 2018-01-11 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 6919 N. DALE MABRY, SUITE 200, TAMPA, FL, 336143972

Signature of
Role Plan administrator
Date 2018-01-11
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-11
Name of individual signing RAVINDRA PATEL, MD
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2015 593084472 2016-09-13 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 6919 N. DALE MABRY, SUITE 200, TAMPA, FL, 336143972

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2013 593084472 2014-07-22 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 6919 N. DALE MABRY, SUITE 200, TAMPA, FL, 336143972

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2012 593084472 2013-05-22 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2011 593084472 2012-11-28 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address
Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of
Role Plan administrator
Date 2012-11-28
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2011 593084472 2012-10-04 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address
Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2011 593084472 2012-10-08 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address
Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2010 593084472 2011-09-20 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address
Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2009 593084472 2010-10-04 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333384
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address
Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333384

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL RAVINDRA Agent 16606 Villalenda De Avila, TAMPA, FL, 33613

Vice President

Name Role Address
PATEL SHARAD I Vice President 3111 MOSSVALE LANE, TAMPA, FL, 33618

President

Name Role Address
PATEL RAVINDRA R President 16606 VILLALENDA DE AVILA, TAMPA, FL, 33613

Secretary

Name Role Address
Patel Ajay P Secretary 179737 Deer Lake Rd, Lutz, FL, 33548

Director

Name Role Address
Patel Ajay P Director 179737 Deer Lake Rd, Lutz, FL, 33548

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2017-02-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CANCEL ADM DISS/REV 2004-05-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data

Related by officers

PATEL SHARAD I

STORM-PAK LLC RS GENERAL CORPORATION RAGSHAL HOLDINGS, LLC

Patel Ajay P

AMP INVESTMENT GROUP, LLC

PATEL RAVINDRA

WOUNDCARE NEWCO, INC. MKP INC. VEDA, LLC GAMMA INVESTMENTS, LLC B.DUB PARTNERS CLEARWATER LLC

Related by address

6919 N DALE MABRY HWY, TAMPA, FL, 33614, US

WOUND HEALING INSTITUTE OF CARROLLWOOD, INC. ANGEL M. ROSARIO, M.D., P.A.

6919 N DALE MABRY HWY, TAMPA, FL, 33614, US

WOUND HEALING INSTITUTE OF CARROLLWOOD, INC. ANGEL M. ROSARIO, M.D., P.A.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated