| Entity Name: | SHAHEDA QAIYUMI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SHAHEDA QAIYUMI, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Mar 1986 (39 years ago) |
| Date of dissolution: | 18 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jan 2018 (7 years ago) |
| Document Number: | J04762 |
| FEI/EIN Number |
592638693
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7109 N.W. 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605 |
| Mail Address: | 7109 N.W. 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730101643 | 2006-07-23 | 2008-02-28 | 7109 NW 11TH PL STE A, GAINESVILLE, FL, 326053141, US | 7109 NW 11TH PL STE A, GAINESVILLE, FL, 326053141, US | |||||||||||||||||||||||||
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| Phone | +1 352-331-2890 |
| Fax | 3523312915 |
Authorized person
| Name | DR. SHAHEDA QAIYUMI |
| Role | PRESIDENT |
| Phone | 3523312890 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| License Number | ME 0042491 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 94896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| QAIYUMI, SHAHEDA | Director | 7109 N.W. 11TH PLACE SUITE A, GAINESVILLE, FL, 32605 |
| QAIYUMI, SHAHEDA | Agent | 7109 N.W. 11 PLACE, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-18 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-14 | 7109 N.W. 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 | - |
| CHANGE OF MAILING ADDRESS | 2009-01-14 | 7109 N.W. 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-14 | 7109 N.W. 11 PLACE, SUITE A, GAINESVILLE, FL 32605 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-09 |
| ANNUAL REPORT | 2015-01-16 |
| ANNUAL REPORT | 2014-01-30 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-01-13 |
| ANNUAL REPORT | 2011-02-01 |
| ANNUAL REPORT | 2010-01-12 |
| ANNUAL REPORT | 2009-01-14 |
| ANNUAL REPORT | 2008-01-04 |
Date of last update: 01 May 2025
Sources: Florida Department of State
