| Entity Name: | IMAD AL-NAKSHABENDI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
IMAD AL-NAKSHABENDI, 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: | 01 Oct 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Feb 2020 (5 years ago) |
| Document Number: | P04000136966 |
| FEI/EIN Number |
020732411
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5041 WESLEY DR, TAMPA, FL, 33647 |
| Mail Address: | 5041 WESLEY DR, TAMPA, FL, 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093995821 | 2007-11-08 | 2021-04-21 | 5041 WESLEY DR, TAMPA, FL, 336471376, US | 671 S KINGS AVE, BRANDON, FL, 335116048, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-972-3750 |
| Fax | 8139723749 |
Authorized person
| Name | DR. IMAD AL-NAKSHABENDI |
| Role | PRESIDENT |
| Phone | 8139723750 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME79277 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 261817600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AL-NAKSHABENDI IMAD M | President | 5041 WESLEY DR, TAMPA, FL, 33647 |
| Al-Nakshabendi Eman | Secretary | 5041 WESLEY DR, TAMPA, FL, 33647 |
| Nakshabendi Rahman | Director | 5041 WESLEY DR, TAMPA, FL, 33647 |
| Imad M Al-Nakshabendi | Agent | 5041 WESLEY DR, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-02-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-02-02 | Imad M Al-Nakshabendi | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-11-01 | 5041 WESLEY DR, TAMPA, FL 33647 | - |
| CHANGE OF MAILING ADDRESS | 2007-11-01 | 5041 WESLEY DR, TAMPA, FL 33647 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-11-01 | 5041 WESLEY DR, TAMPA, FL 33647 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-08-08 |
| REINSTATEMENT | 2020-02-02 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6475137108 | 2020-04-14 | 0455 | PPP | 5041 WESLEY DR, TAMPA, FL, 33647-1376 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
