| Entity Name: | OBT MEDICAL CLINIC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 May 2009 (16 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P09000043359 |
| FEI/EIN Number | 27-0192975 |
| Address: | 9480 S. ORANGE BLOSSOM TRAIL, ORLANDO, FL 32837 |
| Mail Address: | 9480 S. ORANGE BLOSSOM TRAIL, ORLANDO, FL 32837 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073845251 | 2010-02-12 | 2013-05-23 | 9480 S ORANGE BLOSSOM TRL, ORLANDO, FL, 328378321, US | 9480 S ORANGE BLOSSOM TRL, ORLANDO, FL, 328378321, US | |||||||||||||||||
|
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| Phone | +1 407-854-2100 |
Authorized person
| Name | DR. PARVIN AKTER CHOWDHURY |
| Role | PHYSICIAN |
| Phone | 4078542100 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME98113 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHOWDHURY, MOHAMMAD | Agent | 9532 BAYCLIFF CT, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| CHOWDHURY, MOHAMMAD | President | 9532 BAYCLIFF CT, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| CHOWDHURY, PARVIN MD | Chief Executive Officer | 9532 BAYCLIFF CT, ORLANDO, FL 32836 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000168430 | MEDICAL CLINIC | EXPIRED | 2009-10-23 | 2014-12-31 | No data | 9480 S ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-07 | 9480 S. ORANGE BLOSSOM TRAIL, ORLANDO, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-07 | 9480 S. ORANGE BLOSSOM TRAIL, ORLANDO, FL 32837 | No data |
| AMENDMENT AND NAME CHANGE | 2009-12-21 | OBT MEDICAL CLINIC, INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-02-24 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-03-24 |
| Amendment and Name Change | 2009-12-21 |
| Domestic Profit | 2009-05-15 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
