Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Volusia
    4. ›
  4. 32174
    5. ›
  5. MINA ZAHEDI INC.

MINA ZAHEDI INC.

Company Details

Entity Name: MINA ZAHEDI INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Aug 2001 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Aug 2003 (21 years ago)
Document Number: P01000075817
FEI/EIN Number 593728952
Mail Address: 397 John Anderson Drive, ORMOND BEACH, FL, 32176, US
Address: 1050 W. GRANADA BLVD., 2, ORMOND BEACH, FL, 32174
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649466731 2007-09-21 2010-07-12 1050 W GRANADA BLVD, SUITE 2, ORMOND BEACH, FL, 321748154, US 1050 W GRANADA BLVD, SUITE 2, ORMOND BEACH, FL, 321748154, US

Contacts
Phone +1 386-676-4410
Fax 3866764490

Authorized person
Name MINA ZAHEDI
Role OWNER
Phone 3866764410

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME79263
State FL
Is Primary Yes

Other Provider Identifiers
Issuer INDIVIDUAL NPI
Number 1982666814
State FL
Issuer MEDICARE RAILROAD
Number 110231155
State FL
Issuer MEDICARE GROUP PIN
Number K2990
State FL
Issuer GROUP NPI
Number 1649466731
State FL
Issuer BLUE CROSS BLUE SHIELD
Number 03248
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINA ZAHEDI INC 401(K) PROFIT SHARING PLAN & TRUST 2023 593728952 2024-04-06 MINA ZAHEDI INC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 880 AIRPORT RD UNIT 110, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2024-04-06
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401(K) PROFIT SHARING PLAN & TRUST 2022 593728952 2023-04-26 MINA ZAHEDI INC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 880 AIRPORT RD UNIT 110, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2023-04-26
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401(K) PROFIT SHARING PLAN & TRUST 2021 593728952 2022-05-08 MINA ZAHEDI INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 880 AIRPORT RD UNIT 110, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2022-05-08
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401(K) PROFIT SHARING PLAN & TRUST 2020 593728952 2021-04-29 MINA ZAHEDI INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401(K) PROFIT SHARING PLAN & TRUST 2019 593728952 2020-04-08 MINA ZAHEDI INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401 K PROFIT SHARING PLAN TRUST 2018 593728952 2019-03-18 MINA ZAHEDI INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2019-03-18
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401 K PROFIT SHARING PLAN TRUST 2017 593728952 2018-04-05 MINA ZAHEDI INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401 K PROFIT SHARING PLAN TRUST 2016 593728952 2017-05-02 MINA ZAHEDI INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing MINA ZAHEDI
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401 K PROFIT SHARING PLAN TRUST 2015 593728952 2016-05-17 MINA ZAHEDI INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature
MINA ZAHEDI INC 401 K PROFIT SHARING PLAN TRUST 2014 593728952 2015-06-15 MINA ZAHEDI INC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3866764410
Plan sponsor’s address 1450 NORTH US HWY 1 300, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing ALI BABAZADEH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ZAHEDI MINA Agent 397 John Anderson Drive, ORMOND BEACH, FL, 32176

President

Name Role Address
ZAHEDI MINA President 397 John Anderson Drive, ORMOND BEACH, FL, 32176

Vice President

Name Role Address
BABAZADEH ALI Vice President 397 John Anderson Drive, ORMOND BEACH, FL, 32176

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-01-10 1050 W. GRANADA BLVD., 2, ORMOND BEACH, FL 32174 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-10 397 John Anderson Drive, ORMOND BEACH, FL 32176 No data
CHANGE OF PRINCIPAL ADDRESS 2004-05-04 1050 W. GRANADA BLVD., 2, ORMOND BEACH, FL 32174 No data
REINSTATEMENT 2003-08-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-12

Related by officers

BABAZADEH ALI

SOLERA SMART LIVING SYSTEMS, LLC DAYTECH CONSULTING, INC. HABITECH SYSTEMS, INC.

Related by address

397 John Anderson Drive, ORMOND BEACH, FL, 32176, US

DAYTECH CONSULTING, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated