| Entity Name: | HOSAIN DAEE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Jun 1978 (47 years ago) |
| Document Number: | 574410 |
| FEI/EIN Number | 591824943 |
| Address: | 925 NE 30TH TERRACE, SUITE 308, HOMESTEAD, FL, 33033 |
| Mail Address: | 9401 SW 140 STREET, MIAMI, FL, 33176, US |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538300330 | 2009-03-09 | 2009-03-09 | 925 NE 30TH TER, SUITE 308, HOMESTEAD, FL, 330337613, US | 925 NE 30TH TER, SUITE 308, HOMESTEAD, FL, 330337613, US | |||||||||||||||||||||||
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| Phone | +1 305-245-2768 |
Authorized person
| Name | HOSAIN DAEE |
| Role | PRESIDENT |
| Phone | 3052452768 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME26049 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 057225000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAEE HOSAIN M | Agent | 925 NE 30TH TERRACE, HOMESTEAD, FL, 33033 |
| Name | Role | Address |
|---|---|---|
| DAEE HOSAIN M | President | 925 NE 30TH TERRACE #308, HOMESTEAD, FL, 33033 |
| Name | Role | Address |
|---|---|---|
| DAEE HOSAIN M | Director | 925 NE 30TH TERRACE #308, HOMESTEAD, FL, 33033 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
