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SHIFAA WELLNESS CENTER, PLLC - Florida Company Profile

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Company Details

Entity Name: SHIFAA WELLNESS CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Dec 2024 (9 months ago)
Document Number: L24000500239
Address: 25049 LAMBRUSCO LOOP, LUTZ, FL, 33559, US
Mail Address: 25049 LAMBRUSCO LOOP, LUTZ, FL, 33559, US
ZIP code: 33559
City: Lutz
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KHAN AHMED H Authorized Member 25049 LAMBRUSCO LOOP, LUTZ, FL, 33559
- Agent -

National Provider Identifier

NPI Number:
1831901875
Certification Date:
2025-01-26

Authorized Person:

Name:
AHMED HUSSAIN KHAN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-12-02

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Date of last update: 03 Aug 2025

Sources: Florida Department of State