| Entity Name: | AMIR H. FATEMI, M.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Oct 2008 (16 years ago) |
| Date of dissolution: | 28 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L08000097984 |
| FEI/EIN Number | 264509226 |
| Address: | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| Mail Address: | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013159110 | 2009-04-03 | 2009-04-03 | 6934 SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322172820, US | 6934 SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322172820, US | |||||||||||||||||||
|
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| Phone | +1 904-737-9393 |
| Fax | 9047379263 |
Authorized person
| Name | DR. AMIR HOSSEIN FATEMI |
| Role | OWNER |
| Phone | 9047379393 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME34353 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FATEMI AMIR HDr. | Agent | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| FATEMI AMIR H | Manager | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-24 | FATEMI, AMIR H, Dr. | No data |
| REINSTATEMENT | 2010-08-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| LC AMENDED/RESTATED ARTICLE/NAME CHANGE | 2009-03-24 | AMIR H. FATEMI, M.D., LLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-28 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-03-05 |
| ANNUAL REPORT | 2012-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
