| Entity Name: | INTERNAL MEDICINE OF PALM BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INTERNAL MEDICINE OF PALM BEACH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Oct 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L11000113140 |
| FEI/EIN Number |
300700502
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 130 JFK Drive,, Atlantis, FL, 33462, US |
| Mail Address: | 130 JFK Drive,, Atlantis, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750723045 | 2013-07-27 | 2013-07-27 | 3347 STATE ROAD 7, SUITE 206, WELLINGTON, FL, 334498095, US | 3347 STATE ROAD 7, SUITE 206, WELLINGTON, FL, 334498095, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 561-283-0381 |
| Fax | 5614343169 |
Authorized person
| Name | DR. MOHAMMAD YAQUB M |
| Role | DIRECTOR |
| Phone | 5612830381 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME99808 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280882000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YAQUB MOHAMMAD M | Managing Member | 2208 RIDGEWOOD CIRCLE, ROYAL PALM BEACH, FL, 33411 |
| ABDELKADER NAFISA | Vice President | 2208 RIDGEWOOD CIRCLE, ROYAL PALM BEACH, FL, 33411 |
| heffernan richard LCPA | Agent | 151 MEANDER CIRCLE, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REINSTATEMENT | 2021-10-11 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-11 | 130 JFK Drive,, Ste 134, Atlantis, FL 33462 | - |
| CHANGE OF MAILING ADDRESS | 2021-10-11 | 130 JFK Drive,, Ste 134, Atlantis, FL 33462 | - |
| REGISTERED AGENT NAME CHANGED | 2021-10-11 | heffernan, richard L , CPA | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-10-11 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-03-27 |
| ANNUAL REPORT | 2012-04-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
