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BASHARAT HUSSAIN, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: BASHARAT HUSSAIN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Jun 2009 (16 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P09000052652
FEI/EIN Number 270381290
Address: 2901 EAST IRLO BRONSON HWY SUITE B, KISSIMMEE, FL, 34744, US
Mail Address: P. O. BOX 690997, ORLANDO, FL, 32869-0997
ZIP code: 34744
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HUSSAIN BASHARAT President 2901 E. IRLO BRONSON HWY., KISSIMMEE, FL, 34744
HUSSAIN BASHARAT M Agent 2901 E. IRLO BRONSON HWY, KISSIMMEE, FL, 34744

National Provider Identifier

NPI Number:
1144450230

Authorized Person:

Name:
DR. BASHARAT HUSSAIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
4074980057

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000116045 WELLNESS & PRIMARY CARE EXPIRED 2012-12-04 2017-12-31 - 2901 EAST IRLO BRONSON HWY STE B, KISSIMMEE, FL, 34744

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT ADDRESS CHANGED 2013-04-16 2901 E. IRLO BRONSON HWY, SUITE B, KISSIMMEE, FL 34744 -
CHANGE OF PRINCIPAL ADDRESS 2012-09-04 2901 EAST IRLO BRONSON HWY SUITE B, KISSIMMEE, FL 34744 -
CHANGE OF MAILING ADDRESS 2012-09-04 2901 EAST IRLO BRONSON HWY SUITE B, KISSIMMEE, FL 34744 -

Documents

Name Date
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-02-26
ANNUAL REPORT 2013-04-16
ANNUAL REPORT 2012-04-05
ANNUAL REPORT 2011-04-26
ANNUAL REPORT 2010-04-08
Domestic Profit 2009-06-17

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Date of last update: 01 Aug 2025

Sources: Florida Department of State