| Entity Name: | MARWAN M. SHAYKH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARWAN M. SHAYKH, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 Sep 1986 (39 years ago) |
| Document Number: | J31606 |
| FEI/EIN Number |
592705384
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3627 UNIVERSITY BLVD South, Suite 450, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 3627 UNIVERSITY BLVD South, Suite 450, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902109481 | 2010-12-06 | 2010-12-07 | 3627 UNIVERSITY BLVD S, SUITE 450, JACKSONVILLE, FL, 322164230, US | 3627 UNIVERSITY BLVD S, SUITE 450, JACKSONVILLE, FL, 322164230, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-398-1473 |
| Fax | 9043993436 |
Authorized person
| Name | DR. MARWAN M SHAYKH |
| Role | PHYSICIAN |
| Phone | 9043981473 |
Taxonomy
| Taxonomy Code | 207VE0102X - Reproductive Endocrinology Physician |
| License Number | 40218 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207VE0102X - Reproductive Endocrinology Physician |
| License Number | 0101232643 |
| State | VA |
| Is Primary | No |
| Taxonomy Code | 207VX0000X - Obstetrics Physician |
| License Number | 40218 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253855500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAYKH, MARWAN M. | President | 3627 UNIVERSITY BLVD South, JACKSONVILLE, FL, 32216 |
| Farah Law | Agent | 6550 St. Augustine Road, JACKSONVILLE, FL, 32217 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000028391 | ASSISTED FERTILITY PROGRAM | EXPIRED | 2017-03-16 | 2022-12-31 | - | 3627 UNIVERSITY BOULEVARD SOUTH, SUITE 450, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-03-17 | Farah Law | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-03 | 3627 UNIVERSITY BLVD South, Suite 450, JACKSONVILLE, FL 32216 | - |
| CHANGE OF MAILING ADDRESS | 2014-02-03 | 3627 UNIVERSITY BLVD South, Suite 450, JACKSONVILLE, FL 32216 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-03 | 6550 St. Augustine Road, Suite 103, JACKSONVILLE, FL 32217 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-04-23 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 02 May 2025
Sources: Florida Department of State
