| Entity Name: | M. ATIQ HESSAMI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jun 2002 (23 years ago) |
| Document Number: | P02000071278 |
| FEI/EIN Number | 010733857 |
| Address: | 33425 EAST LAKE JOANNA DR, EUSTIS, FL, 32736 |
| Mail Address: | 33425 EAST LAKE JOANNA DR, EUSTIS, FL, 32736 |
| ZIP code: | 32736 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033438759 | 2010-05-19 | 2010-05-19 | 33425 E LAKE JOANNA DR, EUSTIS, FL, 327367249, US | 33425 E LAKE JOANNA DR, EUSTIS, FL, 327367249, US | |||||||||||||||||
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| Phone | +1 352-223-5244 |
Authorized person
| Name | DR. MIRATIQULLAH HESSAMI |
| Role | PRESIDENT |
| Phone | 3522235244 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | P02000071278 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HESSAMI M. ATIQ | Agent | 33425 EAST LAKE JOANNA DR, EUSTIS, FL, 32736 |
| Name | Role | Address |
|---|---|---|
| HESSAMI M. ATIQ M | Director | 33425 EAST LAKE JOANNA DR, EUSTIS, FL, 32736 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2004-01-22 | 33425 EAST LAKE JOANNA DR, EUSTIS, FL 32736 | No data |
| CHANGE OF MAILING ADDRESS | 2004-01-22 | 33425 EAST LAKE JOANNA DR, EUSTIS, FL 32736 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-01-22 | 33425 EAST LAKE JOANNA DR, EUSTIS, FL 32736 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
