| Entity Name: | SHAZIA ZAFAR MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2012 (13 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Sep 2013 (11 years ago) |
| Document Number: | L12000039402 |
| FEI/EIN Number | 45-4852313 |
| Mail Address: | 3850 WINDMILL LAKE RD, WESTON, FL 33332 |
| Address: | 1000 NORTH HIATUS ROAD, SUITE 110, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528334414 | 2012-03-26 | 2019-05-22 | 3850 WINDMILL LAKES RD, WESTON, FL, 333322107, US | 1000 N HIATUS RD STE 110, PEMBROKE PINES, FL, 330263094, US | |||||||||||||||||||||||||
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| Phone | +1 954-883-2500 |
| Fax | 9545380304 |
Authorized person
| Name | DR. SHAZIA ZAFAR |
| Role | MANAGER |
| Phone | 9548832500 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| License Number | ME95785 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004794200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZAFAR , SHAZIA | Agent | 3850 WINDMILL LAKES ROAD WESTON, FL 33332 US, WESTON, FL 33332 |
| Name | Role | Address |
|---|---|---|
| ZAFAR, SHAZIA | Manager | 3850 WINDMILL LAKES ROAD, WESTON, FL 33332 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000047820 | SOUTHWEST FLORIDA CANCER CARE | ACTIVE | 2012-05-23 | 2027-12-31 | No data | 3850 WINDMILL LAKES RD, WESTON, FL, 33332 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-07-11 | 1000 NORTH HIATUS ROAD, SUITE 110, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-29 | ZAFAR , SHAZIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-29 | 3850 WINDMILL LAKES ROAD WESTON, FL 33332 US, WESTON, FL 33332 | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-14 | 1000 NORTH HIATUS ROAD, SUITE 110, PEMBROKE PINES, FL 33026 | No data |
| LC AMENDMENT | 2013-09-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
