| Entity Name: | FLORIDA MEDICAL PROFESSIONALS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Mar 2016 (9 years ago) |
| Document Number: | L16000050677 |
| FEI/EIN Number | 81-1891382 |
| Address: | 11141 Lynwood palm way, Palm beach gardens, FL 33412 |
| Mail Address: | 11141 Lynwood Palm way, palm beach gardens, FL 33412 |
| ZIP code: | 33412 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013404706 | 2018-04-18 | 2024-06-03 | PO BOX 132, COVINGTON, GA, 300150132, US | ST. MARY'S MEDICAL CENTER 901 45TH STREET, WEST PALM BEACH, FL, 33407, US | |||||||||||||||||||
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| Phone | +1 954-686-8426 |
| Fax | 9542450458 |
| Phone | +1 561-601-7979 |
| Fax | 5618556172 |
Authorized person
| Name | MR. TARIQ RAHIM |
| Role | MANAGER |
| Phone | 9546868426 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rahim, Tariq | Agent | 10818 ibis reserve cir, West Palm beach, FL 33412 |
| Name | Role | Address |
|---|---|---|
| RAHIM, TARIQ | Manager | 10818 ibis reserve cir, West Palm beach, FL 33412 |
| Name | Role | Address |
|---|---|---|
| Khan, Habib UR-Rehman | Chief Executive Officer | 10818 ibis reserve Cir, West Palm beach, FL 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 11141 Lynwood palm way, Palm beach gardens, FL 33412 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 11141 Lynwood palm way, Palm beach gardens, FL 33412 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-19 | 10818 ibis reserve cir, West Palm beach, FL 33412 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-05 | Rahim, Tariq | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-02 |
| AMENDED ANNUAL REPORT | 2020-07-01 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-01-03 |
| AMENDED ANNUAL REPORT | 2017-10-24 |
| ANNUAL REPORT | 2017-04-16 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
