| Entity Name: | HESHAM FAKHRI MD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HESHAM FAKHRI MD, PLLC 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: | 09 Jun 2016 (9 years ago) |
| Document Number: | L16000112108 |
| FEI/EIN Number |
812897472
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 508 South Habana Ave, Ste 160, TAMPA, FL, 33609, US |
| Mail Address: | 301 W. Platt St., Ste. A428, Tampa, FL, 33606, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174047674 | 2017-07-27 | 2017-07-27 | 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039, US | 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039, US | |||||||||||||||||||||
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| Phone | +1 313-247-4348 |
| Fax | 8662709831 |
| Phone | +1 813-708-8346 |
Authorized person
| Name | HESHAM FAKHRI |
| Role | PRESIDENT |
| Phone | 8137088346 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HESHAM FAKHRI MD PLLC 401(K) PLAN | 2023 | 812897472 | 2024-05-14 | HESHAM FAKHRI MD PLLC | 23 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-14 |
| Name of individual signing | RANA FAKHRI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137088346 |
| Plan sponsor’s address | 301 W PLATT ST, SUITE A428, TAMPA, FL, 33606 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-17 |
| Name of individual signing | RANA FAKHRI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137088346 |
| Plan sponsor’s address | 301 W PLATT ST, SUITE A428, TAMPA, FL, 33606 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-27 |
| Name of individual signing | RANA FAKHRI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3135293396 |
| Plan sponsor’s address | 508 S HABANA AVE, SUITE 160, TAMPA, FL, 33609 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-04 |
| Name of individual signing | RANA FAKHRI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137088346 |
| Plan sponsor’s address | 508 S HABANA AVE, SUITE 160, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| FAKHRI HESHAM | Authorized Member | 2426 W. Sunset Dr., Tampa, FL, 33629 |
| Fakhri Rana | Vice President | 2426 W.Sunset drive, TAMPA, FL, 33629 |
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000019764 | VEIN, HEART AND VASCULAR INSTITUTE | ACTIVE | 2017-02-23 | 2027-12-31 | - | 301 W.PLATT STREET, SUITE A 428, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| CHANGE OF MAILING ADDRESS | 2021-03-03 | 508 South Habana Ave, Ste 160, TAMPA, FL 33609 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-20 | 508 South Habana Ave, Ste 160, TAMPA, FL 33609 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-05-01 |
| Florida Limited Liability | 2016-06-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7347277104 | 2020-04-14 | 0455 | PPP | 2908 1/2 WEST BAYSHORE CT, TAMPA, FL, 33611-2808 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5246018301 | 2021-01-25 | 0455 | PPS | 508 S Habana Ave Ste 160, Tampa, FL, 33609-4190 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 May 2025
Sources: Florida Department of State
