| Entity Name: | FLORIDA INTERNAL MEDICINE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Apr 2009 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L09000033202 |
| Address: | 29 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
| Mail Address: | 29 DOCTORS DRIVE, PANAMA CITY, FL, 32405 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508009457 | 2009-04-08 | 2009-07-22 | PO BOX 922, PANAMA CITY, FL, 324020922, US | 29 DOCTORS DRIVE, PANAMA CITY, FL, 32405, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-872-0332 |
Authorized person
| Name | DR. MOHAMED KASSEM |
| Role | PRESIDENT |
| Phone | 8508720332 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME91546 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KASSEM MOHAMED | Agent | 461 MAKERS WAY, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| KASSEM MOHAMED | Manager | 461 MAKERS WAY, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2009-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
