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ABU AZIZULLAH, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: ABU AZIZULLAH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Sep 2006 (19 years ago)
Document Number: P06000115505
FEI/EIN Number 205648886
Address: 8550 NE 138TH LANE, BLDG 800, LADY LAKE, FL, 32159
Mail Address: 8550 NE 138TH LANE, BLDG 800, LADY LAKE, FL, 32159
ZIP code: 32159
City: Lady Lake
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AZIZULLAH ABU N Director 8550 NE 138TH LANE BLDG 800, LADY LAKE, FL, 32159
AZIZULLAH ABU Agent 8550 NE 138TH LANE, LADY LAKE, FL, 32159
AZIZULLAH ABU N Manager 8550 NE 138TH LANE BLDG 800, LADY LAKE, FL, 32159

National Provider Identifier

NPI Number:
1609064724

Authorized Person:

Name:
DR. ABU N AZIZULLAH
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3523915308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000079397 INTERNAL MEDICINE PRACTICES ACTIVE 2014-07-31 2029-12-31 - 8550 NE 138TH LANE, BLDG 800, LADY LAKE, FL, 32159

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-01-06 8550 NE 138TH LANE, BLDG 800, LADY LAKE, FL 32159 -
CHANGE OF MAILING ADDRESS 2012-01-06 8550 NE 138TH LANE, BLDG 800, LADY LAKE, FL 32159 -
REGISTERED AGENT ADDRESS CHANGED 2012-01-06 8550 NE 138TH LANE, BLDG 800, LADY LAKE, FL 32159 -

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-14

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
149722.00
Total Face Value Of Loan:
149722.00
Date:
2010-06-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
563000.00
Total Face Value Of Loan:
563000.00

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$149,722
Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,722
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$150,468.56
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $149,718
Utilities: $1
Jobs Reported:
19
Initial Approval Amount:
$149,722
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,722
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$150,644.94
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $149,722

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Date of last update: 02 Aug 2025

Sources: Florida Department of State