| Entity Name: | AMERICAN ONE MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Nov 2008 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000102144 |
| FEI/EIN Number | 263727187 |
| Address: | 4023 WEST WATERS AVE. STE 14, TAMPA, FL, 33614, US |
| Mail Address: | 4023 WEST WATERS AVE. STE 14, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073754198 | 2009-03-19 | 2009-03-19 | 4023 W WATERS AVE STE 14, TAMPA, FL, 336141948, US | 4023 W WATERS AVE STE 14, TAMPA, FL, 336141948, US | |||||||||||||||||||
|
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| Phone | +1 813-886-2409 |
| Fax | 8138862826 |
Authorized person
| Name | DR. NASIM AHMED |
| Role | GENERAL MEDICINE |
| Phone | 8138862409 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 22653 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AHMED NASIM | Agent | 4023 WEST WATERS AVE, STE 14, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| AHMED NASIM | President | 4023 WEST WATERS AVE, STE 14, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-25 | 4023 WEST WATERS AVE. STE 14, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-25 | 4023 WEST WATERS AVE. STE 14, TAMPA, FL 33614 | No data |
| AMENDMENT | 2010-07-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-25 |
| Amendment | 2010-07-29 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-04-01 |
| Domestic Profit | 2008-11-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
