Entity Name: | GULFCOAST MEDICAL & GERIATRIC CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Dec 1991 (33 years ago) |
Document Number: | V00880 |
FEI/EIN Number | 593102796 |
Address: | 6450-38TH AVE N, STE #100, ST. PETERSBURG, FL, 33710, US |
Mail Address: | 6450-38TH AVE N, STE #100, ST. PETERSBURG, FL, 33710, US |
ZIP code: | 33710 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649392119 | 2007-04-04 | 2007-08-27 | 6450 38TH AVE N, SUITE # 100, ST PETERSBURG, FL, 337101645, US | 6450 38TH AVE N, SUITE # 100, ST PETERSBURG, FL, 337101645, US | |||||||||||||||
|
Phone | +1 727-347-2780 |
Fax | 7273475508 |
Authorized person
Name | NANDKISHOR SHAH |
Role | SECRETARY |
Phone | 7273472780 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SHAH SONAL | Agent | 6450-38TH AVE N, ST. PETERSBURG, FL, 33710 |
Name | Role | Address |
---|---|---|
SHAH SONAL M | Director | 6450-38TH AVE N STE #100, ST. PETERSBURG, FL, 33710 |
Name | Role | Address |
---|---|---|
SHAH SONAL M | President | 6450-38TH AVE N STE #100, ST. PETERSBURG, FL, 33710 |
Name | Role | Address |
---|---|---|
SHAH SONAL M | Treasurer | 6450-38TH AVE N STE #100, ST. PETERSBURG, FL, 33710 |
Name | Role | Address |
---|---|---|
NANDKISHOR SHAH | Secretary | 6450- 38TH AVENUE NORTH, SUITE #100, ST PETERSBURG, FL, 33710 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CANCEL ADM DISS/REV | 2007-04-27 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State