| Entity Name: | MOHAMMED A HOSSAIN MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jan 2017 (8 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 24 Jan 2017 (8 years ago) |
| Document Number: | L17000010862 |
| FEI/EIN Number | 81-5022978 |
| Address: | 929 N US Hwy 441, Suite 503, Lady Lake, FL 32159 |
| Mail Address: | 929 N US Hwy 441, Suite 503, Lady Lake, FL 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952872483 | 2018-12-10 | 2019-10-03 | 110 E BERKSHIRE CIR, LONGWOOD, FL, 327795620, US | 929 N US HIGHWAY 441 STE 503, LADY LAKE, FL, 32159, US | |||||||||||||||||
|
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| Phone | +1 732-347-5584 |
| Phone | +1 352-578-2486 |
| Fax | 3523583884 |
Authorized person
| Name | MOHAMMED AMZAD HOSSAIN |
| Role | CEO |
| Phone | 7323475584 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOSSAIN, MOHAMMED A | Agent | 929 N US Hwy 441, Suite 503, Lady Lake, FL 32159 |
| Name | Role | Address |
|---|---|---|
| HOSSAIN, MOHAMMED A | Chief Executive Officer | 929 N US Hwy 441, Suite 503 Lady Lake, FL 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-29 | 929 N US Hwy 441, Suite 503, Lady Lake, FL 32159 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 929 N US Hwy 441, Suite 503, Lady Lake, FL 32159 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-29 | 929 N US Hwy 441, Suite 503, Lady Lake, FL 32159 | No data |
| LC NAME CHANGE | 2017-01-24 | MOHAMMED A HOSSAIN MD, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-03-21 |
| ANNUAL REPORT | 2020-02-15 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-03-25 |
| LC Name Change | 2017-01-24 |
| Florida Limited Liability | 2017-01-13 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
