| Entity Name: | A. O. RIFAI, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Nov 2008 (16 years ago) |
| Document Number: | L08000103682 |
| FEI/EIN Number | 263742991 |
| Mail Address: | P. O. BOX 1750, LYNN HAVEN, FL, 32444, US |
| Address: | 121 COTTONWOOD CIRCLE, LYNN HAVEN, FL, 32444, US |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629213053 | 2008-12-15 | 2010-01-04 | PO BOX 1750, LYNN HAVEN, FL, 324445950, US | 2507 HARRISON AVE, SUITE 101, PANAMA CITY, FL, 324054424, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-215-5911 |
| Fax | 8509143004 |
Authorized person
| Name | DR. AHMAD OUSSAMA RIFAI |
| Role | PRESIDENT |
| Phone | 8502155911 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME78033 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIFAI AHMAD OMD | Agent | 121 COTTONWOOD CIRCLE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| RIFAI AHMAD OMD | Managing Member | P. O. BOX 1750, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2014-03-21 | RIFAI, AHMAD O, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
