| Entity Name: | ABDUL NADEEM, MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Mar 2009 (16 years ago) |
| Document Number: | L09000028925 |
| FEI/EIN Number | 264523960 |
| Address: | 1032 Mann Street, Kissimmee, FL, 34741, US |
| Mail Address: | PO Box 20545, BRADENTON, FL, 34204, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346558871 | 2010-09-17 | 2010-09-17 | 7015 GOSLING TER, BRADENTON, FL, 342038027, US | 1625 S OSPREY AVE, SARASOTA, FL, 342392929, US | |||||||||||||||||||||||||||
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| Phone | +1 941-538-7013 |
| Phone | +1 941-917-1463 |
| Fax | 9419177543 |
Authorized person
| Name | ABDUL NADEEM |
| Role | MD/OWNER |
| Phone | 9419171463 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME79513 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE MEDICAL LICENSE |
| Number | ME79513 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NADEEM ABDUL | Agent | 7015 Gosling Terrace, BRADENTON, FL, 34203 |
| Name | Role | Address |
|---|---|---|
| NADEEM ABDUL Dr. | President | 7015, Gosling Terrace, Bradenton, FL, 34203 |
| Name | Role | Address |
|---|---|---|
| Ghaliegh Sam | Auth | 1211 N washington Blvd, Sarasota, FL, 34236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 1032 Mann Street, Kissimmee, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 1032 Mann Street, Kissimmee, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 7015 Gosling Terrace, BRADENTON, FL 34203 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
