| Entity Name: | QIXIA HUANG, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Nov 2003 (21 years ago) |
| Document Number: | P03000138723 |
| FEI/EIN Number | 200484743 |
| Address: | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL, 32080 |
| Mail Address: | QIXIA HUANG, 82 High Dune Dr, ST. AUGUSTINE, FL, 32080-0018, US |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467649632 | 2007-10-01 | 2007-10-01 | 1301 PLANTATION ISLAND DR S STE 102A, ST AUGUSTINE, FL, 320803109, US | 1301 PLANTATION ISLAND DR S STE 102A, ST AUGUSTINE, FL, 320803109, US | |||||||||||||||||
|
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| Phone | +1 904-471-5626 |
Authorized person
| Name | DR. QIXIA HUANG |
| Role | PRESIDENT |
| Phone | 9044715626 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME78764 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUANG QIXIA M | Agent | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| HUANG QIXIA M | Director | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL, 32080 |
| Shuai Chen | Director | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| HUANG QIXIA M | President | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| HUANG QIXIA M | Treasurer | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-03 | 1301 PLANTATION ISLAND DR S UNIT 102A, ST AUGUSTINE, FL 32080 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-02-05 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
