| Entity Name: | MORTEZA NADJAFI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Mar 1990 (35 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L60121 |
| FEI/EIN Number | 59-3003201 |
| Address: | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 |
| Mail Address: | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043534951 | 2010-03-22 | 2010-03-22 | 736 N MAGNOLIA AVE, ORLANDO, FL, 328033809, US | 736 N MAGNOLIA AVE, ORLANDO, FL, 328033809, US | |||||||||||||||
|
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| Phone | +1 407-423-7149 |
| Fax | 4074220470 |
Authorized person
| Name | DR. MORTEZA NADJAFI |
| Role | CEO |
| Phone | 4074237149 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NADJAFI, MORTEZA, M.D. | Agent | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| NADJAFI, HEIDI | Secretary | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| NADJAFI, HEIDI | Treasurer | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| NADJAFI, MORTEZA, M.D. | President | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-11 | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-11 | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-11 | 736 N. MAGNOLIA AVE, ORLANDO, FL 32803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-20 |
| ANNUAL REPORT | 2014-01-22 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-02-27 |
| ANNUAL REPORT | 2011-03-30 |
| ANNUAL REPORT | 2010-03-26 |
| ANNUAL REPORT | 2009-02-11 |
| ANNUAL REPORT | 2008-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
