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  5. CHAMBER OF MEDICINE P.A.

CHAMBER OF MEDICINE P.A. - Florida Company Profile

Company Details

Entity Name: CHAMBER OF MEDICINE P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CHAMBER OF MEDICINE P.A. 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: 03 Apr 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Jan 2011 (14 years ago)
Document Number: P08000034746
FEI/EIN Number 262332748

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2231 N BLVD WEST, DAVENPORT, FL, 33837
Mail Address: 2231 N BLVD WEST, DAVENPORT, FL, 33837
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346472446 2009-08-22 2020-04-03 327 W CYPRESS ST, KISSIMMEE, FL, 347413326, US 327 W CYPRESS ST, KISSIMMEE, FL, 34741, US

Contacts
Phone +1 863-419-1428
Fax 8634221893
Phone +1 407-483-0672

Authorized person
Name AZIZ IMTIAZ
Role PROPREITER
Phone 8634191428

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME-100789
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2023 262332748 2025-01-27 CHAMBER OF MEDICINE, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2022 262332748 2023-10-17 CHAMBER OF MEDICINE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2021 262332748 2022-10-03 CHAMBER OF MEDICINE, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2020 262332748 2021-10-12 CHAMBER OF MEDICINE, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2019 262332748 2020-10-15 CHAMBER OF MEDICINE, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2018 262332748 2019-10-14 CHAMBER OF MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2017 262332748 2018-10-15 CHAMBER OF MEDICINE, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2016 262332748 2018-01-19 CHAMBER OF MEDICINE, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8053 CHILTON DRIVE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2015 262332748 2016-10-14 CHAMBER OF MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8848 VIA BELLA NOTTE, ORLANDO, FL, 32836
CHAMBER OF MEDICINE, P.A. 401(K) PLAN 2014 262332748 2015-10-12 CHAMBER OF MEDICINE, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8634221890
Plan sponsor’s address 8848 VIA BELLA NOTTE, ORLANDO, FL, 32836

Key Officers & Management

Name Role Address
KHAN KASHAN President 8053 chilton drive, ORLANDO, FL, 32836
KHAN KASHAN Director 8053 chilton drive, ORLANDO, FL, 32836
KHAN KASHAN Agent 2231 N BLVD WEST, DAVENPORT, FL, 33837

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2012-07-10 KHAN, KASHAN -
CHANGE OF PRINCIPAL ADDRESS 2011-07-01 2231 N BLVD WEST, DAVENPORT, FL 33837 -
CHANGE OF MAILING ADDRESS 2011-07-01 2231 N BLVD WEST, DAVENPORT, FL 33837 -
REGISTERED AGENT ADDRESS CHANGED 2011-07-01 2231 N BLVD WEST, DAVENPORT, FL 33837 -
REINSTATEMENT 2011-01-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000102468 TERMINATED 1000000347581 ORANGE 2012-11-30 2023-01-16 $ 824.26 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-04-29

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Companies related by address

No other companies in our directory share the same address as CHAMBER OF MEDICINE P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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