| Entity Name: | ARTHRITIS & RHEUMATOLOGY CLINIC PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Apr 2001 (24 years ago) |
| Document Number: | P01000035023 |
| FEI/EIN Number | 593711220 |
| Address: | 2119 OAK STREET, JACKSONVILLE, FL, 32204 |
| Mail Address: | 2119 OAK STREET, JACKSONVILLE, FL, 32204 |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699853044 | 2006-11-02 | 2012-01-12 | 2119 OAK ST, JACKSONVILLE, FL, 322044410, US | 2119 OAK ST, JACKSONVILLE, FL, 322044410, US | |||||||||||||||||||||||||||
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| Phone | +1 904-389-2707 |
| Fax | 9043897009 |
Authorized person
| Name | BSHARA BARAKAT |
| Role | PRESIDENT |
| Phone | 9043892707 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME68949 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME75096 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTHRITIS & RHEUMATOLOGY CLINIC PA CASH BALANCE PLAN | 2023 | 593711220 | 2024-10-15 | ARTHRITIS & RHEUMATOLOGY CLINIC PA | 4 | |||||||||||||
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| ARTHRITIS & RHEUMATOLOGY CLINIC PA 401(K) PROFIT SHARING PLAN | 2023 | 593711220 | 2024-10-15 | ARTHRITIS & RHEUMATOLOGY CLINIC PA | 4 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| BARAKAT BJ Dr. | Agent | 2119 OAK STREET, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| BARAKAT MIRNA | Director | 2119 OAK ST, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| BARAKAT BSHARA | Chief Executive Officer | 8188 WEKIVA WAY, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08339900341 | UNIFIED MEDICAL CLINIC | ACTIVE | 2008-12-04 | 2028-12-31 | No data | 2119 OAK ST, JACKSONVILLE, FL, 32204 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
