Entity Name: | MOHIB MEDICAL LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
MOHIB MEDICAL 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: | 04 Aug 2014 (11 years ago) |
Document Number: | L14000121414 |
FEI/EIN Number |
47-1513372
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 10629 Emerald Chase Drive, Orlando, FL, 32836, US |
Mail Address: | 10629 Emerald Chase Drive, Orlando, FL, 32836, US |
ZIP code: | 32836 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871020842 | 2017-05-22 | 2017-05-22 | 410 LIONEL WAY STE 200, DAVENPORT, FL, 338377809, US | 410 LIONEL WAY STE 200, DAVENPORT, FL, 338377809, US | |||||||||||||||||||||||
|
Phone | +1 863-353-2602 |
Authorized person
Name | MR. MARK NICOLE |
Role | MANAGER |
Phone | 3212234470 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAL LICENSE |
Number | ME105262 |
Issuer | MEDICAID |
Number | 266607300 |
State | FL |
Name | Role | Address |
---|---|---|
MOHIB SAIYED | Manager | 10629 Emerald Chase Drive, Orlando, FL, 32836 |
Mehdi Hina F | Manager | 10629 Emerald Chase Drive, Orlando, FL, 32836 |
MOHIB SAIYED | Agent | 10629 Emerald Chase Drive, Orlando, FL, 32836 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2016-04-26 | 10629 Emerald Chase Drive, Orlando, FL 32836 | - |
CHANGE OF MAILING ADDRESS | 2016-04-26 | 10629 Emerald Chase Drive, Orlando, FL 32836 | - |
REGISTERED AGENT ADDRESS CHANGED | 2016-04-26 | 10629 Emerald Chase Drive, Orlando, FL 32836 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-02 |
ANNUAL REPORT | 2024-06-04 |
ANNUAL REPORT | 2023-03-30 |
ANNUAL REPORT | 2022-03-21 |
ANNUAL REPORT | 2021-04-03 |
ANNUAL REPORT | 2020-03-30 |
ANNUAL REPORT | 2019-03-26 |
ANNUAL REPORT | 2018-03-18 |
ANNUAL REPORT | 2017-02-24 |
ANNUAL REPORT | 2016-04-26 |
Date of last update: 02 May 2025
Sources: Florida Department of State