| Entity Name: | HARBOR MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jul 2016 (9 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 20 Sep 2019 (5 years ago) |
| Document Number: | L16000130185 |
| FEI/EIN Number | 81-3294700 |
| Address: | 21202 OLEAN BLVD UNIT C-1, PORT CHARLOTTE, FL, 33952, US |
| Mail Address: | 21202 OLEAN BLVD UNIT C-1, PORT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689184335 | 2017-10-09 | 2023-05-05 | 21202 OLEAN BLVD STE C1, PORT CHARLOTTE, FL, 339526725, US | 21202 OLEAN BLVD STE C1, PORT CHARLOTTE, FL, 339526725, US | |||||||||||||||
|
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| Phone | +1 941-889-7440 |
| Fax | 9413916089 |
Authorized person
| Name | AHSAN KAMAL |
| Role | OWNER |
| Phone | 9418897440 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LEGALCORP SOLUTIONS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KAMAL AHSAN | Member | 21202 OLEAN BLVD UNIT C-1, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC DISSOCIATION MEM | 2019-09-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-06 | 21202 OLEAN BLVD UNIT C-1, PORT CHARLOTTE, FL 33952 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-11 | 21202 OLEAN BLVD UNIT C-1, PORT CHARLOTTE, FL 33952 | No data |
| LC DISSOCIATION MEM | 2017-01-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-30 |
| CORLCDSMEM | 2019-09-20 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-05-11 |
| CORLCDSMEM | 2017-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
