| Entity Name: | DR EJAZ AHMED MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DR EJAZ AHMED MD PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Aug 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Nov 2016 (8 years ago) |
| Document Number: | P10000068311 |
| FEI/EIN Number |
273282100
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 405 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 810 Pheasant Run CT W, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245636042 | 2014-11-06 | 2014-11-06 | 3848 CALLIOPE AVE, PORT ORANGE, FL, 321296025, US | 405 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 321142730, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-235-8731 |
| Fax | 3862699555 |
Authorized person
| Name | DR. EJAZ AHMED |
| Role | PRESIDENT |
| Phone | 3862358731 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME95557 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AHMED EJAZ | Director | 810 Pheasant Run CT W, PORT ORANGE, FL, 32127 |
| PINNACLE SIGNATURE GROUP INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000039775 | DR EJAZ AHMED MD PA D/B URGENT CARE & FAMILY PRACTICE CENTER | ACTIVE | 2020-04-09 | 2025-12-31 | - | 405 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 |
| G14000108873 | DR EJAZ AHMED MD PA D/B URGENT CARE & FAMILY PRACTICE CENTER | EXPIRED | 2014-10-28 | 2019-12-31 | - | 3848 CALLIOPE AVENUE, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-10 | 405 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL 32114 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-14 | 927 BEVILLE ROAD, SUITE 109, SOUTH DAYTONA, FL 32119 | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-27 | PINNACLE SIGNATURE GROUP INC. | - |
| REINSTATEMENT | 2016-11-10 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-10 | 405 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL 32114 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-05-01 |
| REINSTATEMENT | 2016-11-10 |
| ANNUAL REPORT | 2015-04-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5201217204 | 2020-04-27 | 0491 | PPP | 405 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8255048305 | 2021-01-29 | 0491 | PPS | 405 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2730 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 May 2025
Sources: Florida Department of State
