| Entity Name: | BORN AGAIN DOCTOR, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Nov 2009 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2019 (5 years ago) |
| Document Number: | L09000111852 |
| FEI/EIN Number | 271013073 |
| Address: | 8449 SAND LAKE SHORES CT, orlando, FL, 32836, US |
| Mail Address: | 8449 SAND LAKE SHORES CT, orlando, FL, 32836, US |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821463688 | 2015-12-04 | 2015-12-04 | 10671 EMERALD CHASE DR, ORLANDO, FL, 328365855, US | 10671 EMERALD CHASE DR, ORLANDO, FL, 328365855, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-645-1847 |
| Fax | 4079786507 |
Authorized person
| Name | DR. SUALEH ASHRAF |
| Role | OWNER |
| Phone | 4076451847 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME83798 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME83798 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | ME83798 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA MEDICAL LICENSE |
| Number | ME83798 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Ashraf Sualeh kDr. | Agent | 8449 SAND LAKE SHORES CT, orlando, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| ASHRAF SUALEH KDr. | Manager | 8449 SAND LAKE SHORES CT, orlando, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| Ashraf Sualeh kDr. | mgr | 8449 SAND LAKE SHORES CT, orlando, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 8449 SAND LAKE SHORES CT, orlando, FL 32836 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-29 | 8449 SAND LAKE SHORES CT, orlando, FL 32836 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-29 | 8449 SAND LAKE SHORES CT, orlando, FL 32836 | No data |
| REINSTATEMENT | 2019-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-03 | Ashraf, Sualeh k, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2019-09-23 | No data | No data |
| REINSTATEMENT | 2016-11-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-06-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-02 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-08-19 |
| ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2020-06-29 |
| REINSTATEMENT | 2019-10-03 |
| LC Amendment | 2019-09-23 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-07-28 |
| REINSTATEMENT | 2016-11-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
