| Entity Name: | BEGUM INTERNAL MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BEGUM INTERNAL MEDICINE 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Apr 2013 (12 years ago) |
| Document Number: | L13000052779 |
| FEI/EIN Number |
46-2499499
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1283 SW STATE ROAD 47, 101, LAKE CITY, FL, 32025 |
| Mail Address: | 397 SW Highpoint Gln, Lake City, FL, 32024, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023453222 | 2013-05-02 | 2021-02-15 | 1283 SW STATE ROAD 47, SUITE 101, LAKE CITY, FL, 320250489, US | 1283 SW STATE ROAD 47, SUITE 101, LAKE CITY, FL, 320250489, US | |||||||||||||||||||||||||
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| Phone | +1 386-438-5255 |
| Fax | 3864385618 |
Authorized person
| Name | DR. TOHMINA BEGUM |
| Role | OWNER |
| Phone | 2036953966 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME109244 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 107531200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUDA NURUL | Manager | 1283 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Begum Tohmina | Agent | 1283 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-16 | Begum, Tohmina | - |
| CHANGE OF MAILING ADDRESS | 2017-04-06 | 1283 SW STATE ROAD 47, 101, LAKE CITY, FL 32025 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3707718402 | 2021-02-05 | 0491 | PPS | 1283 SW State Road 47 Ste 101, Lake City, FL, 32025-0490 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7398237103 | 2020-04-14 | 0491 | PPP | 1283 SW State Road 47, LAKE CITY, FL, 32025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
