| Entity Name: | SHAHID ZEB MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Aug 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P10000067178 |
| FEI/EIN Number | 593697740 |
| Address: | 4123 University Blvd S, Suite D, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4123 University Blvd S, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053479824 | 2006-12-05 | 2007-10-08 | PO BOX 14369, TALLAHASSEE, FL, 323174369, US | 2888-5 EAST MAHAN DR, TALLAHASSEE, FL, 323085465, US | |||||||||||||||||||
|
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| Phone | +1 850-671-4800 |
| Fax | 8506714821 |
Authorized person
| Name | SHAHID ZEB |
| Role | PRESIDENT |
| Phone | 8506714800 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 49994 |
| Name | Role | Address |
|---|---|---|
| ZEB SHAHID M | Agent | 4255 Glenn Kernan Parkway East, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| ZEB SHAHID M | Dr | 4255 Glen Kernan Parkway E, JAXKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| ZEB SHAHID M | President | 4255 Glen Kernan Parkway E, JACKSONVILLE, FL, 32224 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000093055 | RHEUMATOLOGY ASSOCIATES OF JACKSONVILLE | EXPIRED | 2010-10-11 | 2015-12-31 | No data | 3599 UNIVERSITY BLVD. S. STE 504, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-04-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-04-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-12-11 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-11 | 4123 University Blvd S, Suite D, JACKSONVILLE, FL 32216 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-10-24 |
| REINSTATEMENT | 2022-04-05 |
| REINSTATEMENT | 2020-04-01 |
| REINSTATEMENT | 2018-12-11 |
| REINSTATEMENT | 2017-03-28 |
| REINSTATEMENT | 2015-10-29 |
| ANNUAL REPORT | 2012-05-06 |
| ANNUAL REPORT | 2011-03-20 |
| Domestic Profit | 2010-08-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
