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NAFISA TEJPAR, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: NAFISA TEJPAR, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 28 Jul 1981 (44 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: 696292
FEI/EIN Number 592101487
Address: 221 SHELL PT W, MAITLAND, FL, 32751, US
Mail Address: 221 SHELL PT W, MAITLAND, FL, 32751, US
ZIP code: 32751
City: Maitland
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TEJPAR NAFISA President 221 SHELL PT W, MAITLAND, FL, 32751
TEJPAR NAFISA Vice President 221 SHELL PT W, MAITLAND, FL, 32751
TEJPAR NAFISA Treasurer 221 SHELL PT W, MAITLAND, FL, 32751
TEJPAR NAFISA Secretary 221 SHELL PT W, MAITLAND, FL, 32751
TEJPAR NAFISA AMD Agent 221 SHELL PT W, MAITLAND, FL, 32751

National Provider Identifier

NPI Number:
1083942023

Authorized Person:

Name:
NAFISA TEJPAR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4076441334

Form 5500 Series

Employer Identification Number (EIN):
592101487
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2018-04-26 221 SHELL PT W, MAITLAND, FL 32751 -
CHANGE OF MAILING ADDRESS 2018-04-26 221 SHELL PT W, MAITLAND, FL 32751 -
REGISTERED AGENT NAME CHANGED 2018-04-26 TEJPAR, NAFISA A, MD -
REGISTERED AGENT ADDRESS CHANGED 2018-04-26 221 SHELL PT W, MAITLAND, FL 32751 -

Documents

Name Date
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-11
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-04-18
ANNUAL REPORT 2013-04-12
ANNUAL REPORT 2012-04-09
ANNUAL REPORT 2011-04-10
ANNUAL REPORT 2010-04-08
ANNUAL REPORT 2009-04-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State