| Entity Name: | MD SHAHED ARZU, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jul 2005 (20 years ago) |
| Document Number: | P05000097951 |
| FEI/EIN Number | 203139148 |
| Address: | 6224 C Durham Drive, Lake Worth, FL, 33467, US |
| Mail Address: | 6224 C Durham Drive, Lake Worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356483028 | 2007-02-12 | 2008-04-20 | 10173 BOCA VISTA DR, BOCA RATON, FL, 334981589, US | 7737 N UNIVERSITY DR, SUITE 104, TAMARAC, FL, 333212961, US | |||||||||||||||||||
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| Phone | +1 954-495-6408 |
| Phone | +1 954-720-6902 |
Authorized person
| Name | DR. SHAHED ARZU |
| Role | PHYSICIAN |
| Phone | 7047783697 |
Taxonomy
| Taxonomy Code | 170100000X - Ph.D. Medical Genetics |
| License Number | ME92910 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARZU MD SHAHED M | Agent | 6224 C Durham Drive, Lake Worth, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| ARZU MD S | President | 6224 C Durham Drive, Lake Worth, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-20 | 6224 C Durham Drive, Lake Worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-20 | 6224 C Durham Drive, Lake Worth, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-20 | 6224 C Durham Drive, Lake Worth, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
