| Entity Name: | FATHIMA SYED MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Sep 2020 (4 years ago) |
| Document Number: | L20000287630 |
| FEI/EIN Number | 85-3156378 |
| Address: | 3606 MADACA LN, TAMPA, FL, 33618, US |
| Mail Address: | 3606 MADACA LN, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538767249 | 2020-10-14 | 2022-02-25 | 3606 MADACA LN, TAMPA, FL, 336182057, US | 3606 MADACA LN, TAMPA, FL, 336182057, US | |||||||||||||||
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| Phone | +1 813-968-7830 |
| Fax | 8132659697 |
Authorized person
| Name | KELLY KILGORE |
| Role | OFFICE MANAGER |
| Phone | 8139687830 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SYED FATHIMA | Agent | 12335 STONELAKE RANCH BLVD, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| SYED FATHIMAZZOHARE | Authorized Member | 3606 MADACA LN, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-04 | 3606 MADACA LN, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-04 | 3606 MADACA LN, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-15 | SYED , FATHIMA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-15 |
| Florida Limited Liability | 2020-09-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
