| Entity Name: | KHADRA OSMAN, MD OF FT. LAUDERDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jul 2011 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 14 Dec 2023 (a year ago) |
| Document Number: | L11000080584 |
| FEI/EIN Number | 45-2852430 |
| Address: | 4010 W. Boy Scout Blvd, Suite 500, Tampa, FL 33607 |
| Mail Address: | 4010 W. Boy Scout Blvd, Suite 500, Tampa, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831767003 | 2021-06-15 | 2021-06-15 | PO BOX 9100, BELFAST, ME, 049159100, US | 1625 SE 3RD AVE STE 400, FORT LAUDERDALE, FL, 333162521, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-300-2410 |
| Fax | 5612357292 |
| Phone | +1 954-832-0055 |
| Fax | 9548320262 |
Authorized person
| Name | ERICA HERNANDEZ |
| Role | MANAGER |
| Phone | 5613002410 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| FLORIDA WOMAN CARE, LLC | Member |
| Name | Role | Address |
|---|---|---|
| Wright, Brian | Chief Legal Officer | 4010 W. Boy Scout Blvd, Suite 500 Tampa, FL 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000041875 | FORT LAUDERDALE WOMEN CARE | ACTIVE | 2020-04-15 | 2025-12-31 | No data | 1625 SE THIRD AVENUE, SUITE 400, FORT LAUDERDALE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-18 | 4010 W. Boy Scout Blvd, Suite 500, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-18 | 4010 W. Boy Scout Blvd, Suite 500, Tampa, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-18 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| LC STMNT OF RA/RO CHG | 2023-12-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-14 | CORPORATION SERVICE COMPANY | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-18 |
| ANNUAL REPORT | 2024-04-09 |
| CORLCRACHG | 2023-12-14 |
| ANNUAL REPORT | 2023-03-16 |
| AMENDED ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-26 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
