| Entity Name: | ATEEQUE KHAN, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Apr 2007 (18 years ago) |
| Document Number: | P07000051708 |
| FEI/EIN Number | 223963861 |
| Address: | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| Mail Address: | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457982977 | 2020-02-03 | 2020-02-03 | 3659 EASTBURY DR, JACKSONVILLE, FL, 322241659, US | 3659 EASTBURY DR, JACKSONVILLE, FL, 322241659, US | |||||||||||||||
|
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| Phone | +1 904-599-3225 |
| Fax | 9048218050 |
Authorized person
| Name | ATEEQUE R KHAN |
| Role | OWNER |
| Phone | 9045993225 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ATEEQUE KHAN | Agent | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| KHAN ATEEQUE R | Director | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| KHAN ATEEQUE R | President | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| KHAN ATEEQUE R | Secretary | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| KHAN ATEEQUE R | Treasurer | 3659 EASTBURY DR, JACKSONVILLE, FL, 32224 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000084957 | HOSPITAL SPECIALISTS PA | ACTIVE | 2023-07-19 | 2028-12-31 | No data | 3659 EASTBURY DRIVE, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-13 | 3659 EASTBURY DR, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-13 | 3659 EASTBURY DR, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-13 | ATEEQUE KHAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-13 | 3659 EASTBURY DR, JACKSONVILLE, FL 32224 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-04-03 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
