| Entity Name: | EXCEL PEDIATRICS & FAMILY CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EXCEL PEDIATRICS & FAMILY CARE, INC 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: | 20 Sep 2005 (20 years ago) |
| Document Number: | P05000129385 |
| FEI/EIN Number |
203498874
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 34711, US |
| Mail Address: | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871500454 | 2006-08-03 | 2015-10-26 | 265 CITRUS TOWER BLVD, 102, CLERMONT, FL, 347111908, US | 265 CITRUS TOWER BLVD, 102, CLERMONT, FL, 347111908, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-394-3929 |
| Fax | 3523946446 |
Authorized person
| Name | DR. MOHAMMAD AFZAL |
| Role | DOCTOR |
| Phone | 3523943929 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME72542 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 660212600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AFZAL MOHAMMAD | President | 265 CITRUS TOWER BLVD # 102, CLERMONT, FL, 34711 |
| AFZAL MOHAMMAD | Director | 265 CITRUS TOWER BLVD # 102, CLERMONT, FL, 34711 |
| AFZAL NADIA | Vice President | 265 CITRUS TOWER BLVD # 102, CLERMONT, FL, 34711 |
| AFZAL NADIA | Director | 265 CITRUS TOWER BLVD # 102, CLERMONT, FL, 34711 |
| AFZAL MOHAMMAD | Agent | 265 CITRUS TOWER BLVD, CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000012543 | EXCEL FAMILY CARE | EXPIRED | 2015-02-04 | 2020-12-31 | - | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-07 | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711 | - |
| CHANGE OF MAILING ADDRESS | 2010-01-07 | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-07 | 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-01-17 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
