| Entity Name: | HAQ MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 May 2005 (20 years ago) |
| Date of dissolution: | 06 Feb 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Feb 2021 (4 years ago) |
| Document Number: | P05000072504 |
| FEI/EIN Number | 202866075 |
| Address: | 120 Vintage Lane, Palatka, FL, 32177, US |
| Mail Address: | 120 VINTAGE LANE, PALATKA, FL, 32177, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194846352 | 2007-04-03 | 2012-11-15 | 800 ZEAGLER DR, SUITE 200, PALATKA, FL, 321773883, US | 800 ZEAGLER DR, SUITE 200, PALATKA, FL, 321773883, US | |||||||||||||||||||||||||
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| Phone | +1 386-325-4999 |
| Fax | 3863254777 |
Authorized person
| Name | DR. IFTIKHAR FAZAL HAQ |
| Role | PRESIDENT |
| Phone | 3863254999 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS 6099 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 371351200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAQ IFTIKHAR FDr. | Agent | 120 VINTAGE LANE, PALATKA, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| haq iftikhar FDr. | President | 120 Vintage Lane, Palatka, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| HAQ FAREENA N | Secretary | 120 Vintage Lane, PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-08 | 120 Vintage Lane, Palatka, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-16 | 120 Vintage Lane, Palatka, FL 32177 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-16 | HAQ, IFTIKHAR F, Dr. | No data |
| ARTICLES OF CORRECTION | 2005-06-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-06 |
| ANNUAL REPORT | 2020-03-08 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-02-18 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-03-21 |
| ANNUAL REPORT | 2014-02-09 |
| ANNUAL REPORT | 2013-02-16 |
| ANNUAL REPORT | 2012-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
