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MID FLORIDA GROUP OF SPECIALISTS, LLC - Florida Company Profile

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Company Details

Entity Name: MID FLORIDA GROUP OF SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Mar 2022 (3 years ago)
Document Number: L22000127159
FEI/EIN Number 88-1545199
Address: 1403 MEDICAL PLAZA DR STE 207, SANFORD, FL, 32771-1047
Mail Address: 1403 MEDICAL PLAZA DR STE 207, SANFORD, FL, 32771-1047
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AFZAL FUAD Authorized Member 1403 MEDICAL PLAZA DR STE 207, SANFORD, FL, 327711047
HUSAIN SAYED Authorized Member 5022 MAPLE GLEN PL, SANFORD, FL, 32771
AFZAL FUAD Agent 1403 MEDICAL PLAZA DR STE 207, SANFORD, FL, 327711047

National Provider Identifier

NPI Number:
1588307094
Certification Date:
2024-10-29

Authorized Person:

Name:
FUAD AFZAL
Role:
AMBR
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
No
Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
3213640729

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-25
Florida Limited Liability 2022-03-28

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Date of last update: 03 Aug 2025

Sources: Florida Department of State