| Entity Name: | ASHFAQ KUDIA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ASHFAQ KUDIA, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Jan 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Jul 2015 (10 years ago) |
| Document Number: | P03000011272 |
| FEI/EIN Number |
593679542
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1301 PLANTATION ISLAND DRIVE, SUITE 302A, ST. AUGUSTINE, FL, 32080, US |
| Mail Address: | P.O. BOX 3208, ST. AUGUSTINE, FL, 32085, US |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265675219 | 2009-04-07 | 2010-07-12 | PO BOX 3208, SUITE 302A, SAINT AUGUSTINE, FL, 320853208, US | 1301 PLANTATION ISLAND DR S, SUITE 302A, SAINT AUGUSTINE, FL, 320803108, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-461-9330 |
| Fax | 9044619331 |
Authorized person
| Name | MRS. FURRIN KUDIA |
| Role | OFFICE MANAGER |
| Phone | 9044619330 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0068850 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | 28138 |
| State | FL |
| Issuer | MEDICAID |
| Number | 379026600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KUDIA ASHFAQ L | President | 1301 PLANTATION ISLAND DRIVE, SUITE 302A, ST. AUGUSTINE, FL, 32080 |
| CLUKEY & TEBAULT, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-06-12 | CLUKEY & TEBAULT LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-12 | 201 Owens Ave, ST. AUGUSTINE, FL 32080 | - |
| REINSTATEMENT | 2015-07-30 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-14 | 1301 PLANTATION ISLAND DRIVE, SUITE 302A, ST. AUGUSTINE, FL 32080 | - |
| PENDING REINSTATEMENT | 2011-06-08 | - | - |
| REINSTATEMENT | 2011-06-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| CANCEL ADM DISS/REV | 2008-12-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-04-18 |
| REINSTATEMENT | 2015-07-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9257947208 | 2020-04-28 | 0491 | PPP | 1301 PLANTATION ISLAND DRIVE SUITE 302A, ST AUGUSTINE, FL, 32080 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
