| Entity Name: | ATTA & ZAAS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 May 2016 (9 years ago) |
| Document Number: | L16000088665 |
| FEI/EIN Number | 81-2616126 |
| Address: | 11141 LYNWOOD PALLM WAY, WEST PALM BEACH, FL 33412 |
| Mail Address: | 11141 Lynwood Palm Way, West Palm Beach, FL 33412 |
| ZIP code: | 33412 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245689835 | 2016-06-06 | 2023-02-18 | P O BOX. 32355, PALM BEACH GARDENS, FL, 33410, US | 1665 MARTIN LUTHER KING JR BLVD STE 12A, RIVIERA BEACH, FL, 334047126, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-487-1395 |
| Phone | +1 954-686-6577 |
| Fax | 9542450458 |
Authorized person
| Name | MOHAMMAD N NASAR |
| Role | DIRECTOR |
| Phone | 7864871395 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116447000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NASAR, MOHAMMAD N | Agent | 11141 LYNWOOD PALM WAY, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| NASAR, MOHAMMAD N | Manager | 11141 LYNWOOD PALM WAY, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| NASAR, MOHAMMAD N | Director | 11141 LYNWOOD PALM WAY, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| Nasar, Bushra Nawaz | Treasurer | 11141 LYNWOOD PALLM WAY, WEST PALM BEACH, FL 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-26 | 11141 LYNWOOD PALLM WAY, WEST PALM BEACH, FL 33412 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-04-09 |
| Florida Limited Liability | 2016-05-05 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
