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HARBOR PHYSICIANS LLC

Company Details

Entity Name: HARBOR PHYSICIANS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Mar 2023 (2 years ago)
Document Number: L23000139293
FEI/EIN Number 92-3211874
Address: 2140 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL, 32073, US
Mail Address: 225 COLLEGE DR., UNIT 65301, ORANGE PARK, FL, 32065, US
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407549298 2023-05-30 2024-10-18 225 COLLEGE DR UNIT 65301, ORANGE PARK, FL, 320657813, US 2140 KINGSLEY AVE STE 1, ORANGE PARK, FL, 320735129, US

Contacts

Phone +1 904-368-6809

Authorized person

Name DR. MUHAMMAD AKHTAR
Role PRESIDENT
Phone 9043338467

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
AKHTAR MUHAMMAD I Agent 225 COLLEGE DR., ORANGE PARK, FL, 32065

Manager

Name Role Address
AKHTAR MUHAMMAD I Manager 225 COLLEGE DR. UNIT 56301, ORANGE PARK, FL, 32065

Authorized Member

Name Role Address
ISMAEEL OMER Authorized Member 225 COLLEGE DR. UNIT 65301, ORANGE PARK, FL, 32065
ISMAEEL OSMAN Authorized Member 225 COLLEGE DR. UNIT 65301, ORANGE PARK, FL, 32065

Documents

Name Date
ANNUAL REPORT 2024-04-02
Florida Limited Liability 2023-03-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State