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FLAGLER PHYSICIAN GROUP, INC.

Company Details

Entity Name: FLAGLER PHYSICIAN GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Nov 2009 (15 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: P09000090503
FEI/EIN Number 271246923
Address: 210 JUPITER LAKES BLVD BLDG 400 SUITE 202, JUPITER, FL, 33458
Mail Address: 210 JUPITER LAKES BLVD BLDG 400 SUITE 202, JUPITER, FL, 33458
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538496906 2009-11-05 2009-11-05 210 JUPITER LAKES BLVD, SUITE 4202, JUPITER, FL, 334587191, US 210 JUPITER LAKES BLVD, SUITE 4202, JUPITER, FL, 334587191, US

Contacts

Phone +1 561-745-6515
Fax 5617456529

Authorized person

Name DR. BAQIR MURTAZA SYED
Role PRESIDENT
Phone 5617456515

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
KLEIN BRENT D Agent 701 BRICKELL AVE SUITE 1900, MIAMI, FL, 33131

Director

Name Role Address
SYED BAQIR Director 210 JUPITER LAKES BLVD BLDG 400 SUITE 202, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2014-01-11
ANNUAL REPORT 2013-01-17
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-01-06
Domestic Profit 2009-11-02

Date of last update: 01 Jan 2025

Sources: Florida Department of State