| Entity Name: | SHARIF UZ ZAMAN KHAN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 May 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Jan 2025 (a month ago) |
| Document Number: | L18000122758 |
| FEI/EIN Number | 83-0579015 |
| Address: | 17920 CACHET ISLE DR, TAMPA, FL 33647 |
| Mail Address: | 18035 JAVA ISLE DR, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578056503 | 2018-06-13 | 2023-03-07 | 320 W FLETCHER AVE STE 102, TAMPA, FL, 336123400, US | 320 W FLETCHER AVE STE 102, TAMPA, FL, 336123400, US | |||||||||||||||||||||||
|
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| Phone | +1 813-679-5276 |
Authorized person
| Name | SHARIF UZ ZAMAN KHAN |
| Role | OWNER |
| Phone | 3473213781 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME132599 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME132599 |
| State | FL |
| Name | Role |
|---|---|
| REPUBLIC REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KHAN, SHARIFUZZAMAN | Authorized Member | 18035 JAVA ISLE DR, TAMPA, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-13 | 1150 NW 72ND AVE TOWER 1, STE 455, MIAMI, FL 33126 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-23 | REPUBLIC REGISTERED AGENT LLC | No data |
| REINSTATEMENT | 2022-11-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-23 | 1150 Nw 72nd Ave Tower I Ste 455, Miami, FL 33126 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 17920 CACHET ISLE DR, TAMPA, FL 33647 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 17920 CACHET ISLE DR, TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2025-01-13 |
| REINSTATEMENT | 2022-11-23 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-04-24 |
| Florida Limited Liability | 2018-05-16 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
