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OPTIMA MEDICAL OF SOUTH FLORIDA INC

Company Details

Entity Name: OPTIMA MEDICAL OF SOUTH FLORIDA INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 18 Oct 2010 (14 years ago)
Date of dissolution: 19 Mar 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Mar 2013 (12 years ago)
Document Number: P10000085022
FEI/EIN Number 27-3740188
Address: 2925 10TH AVENUE NORTH, 201-B, PALM SPRINGS, FL 33461
Mail Address: 2925 10TH AVENUE NORTH, 201-B, PALM SPRINGS, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942507298 2011-02-23 2011-02-23 2925 10TH AVE N STE 201B, PALM SPRINGS, FL, 334613046, US 2925 10TH AVE N STE 201B, PALM SPRINGS, FL, 334613046, US

Contacts

Phone +1 561-629-7369

Authorized person

Name DR. EHSANUL KARIM
Role PRESIDENT
Phone 5616297369

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME 95872
State FL
Is Primary Yes

Agent

Name Role Address
KARIM, EHSANUL Agent 514 E TALL OAKS DRIVE, PALM BEACH GARDENS, FL 33410

President

Name Role Address
KARIM, EHSANUL President 514 E. TALL OAKS DRIVE, PALM BEACH GARDENS, FL 33410

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000097286 OPTIMA MEDICAL OF SOUTH FLORIDA EXPIRED 2010-10-22 2015-12-31 No data 514 E TALL OAKS DRIVE, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-10-01 2925 10TH AVENUE NORTH, 201-B, PALM SPRINGS, FL 33461 No data
CHANGE OF MAILING ADDRESS 2025-10-01 2925 10TH AVENUE NORTH, 201-B, PALM SPRINGS, FL 33461 No data
CHANGE OF PRINCIPAL ADDRESS 2024-10-01 2925 10TH AVENUE NORTH, 201-B, PALM SPRINGS, FL 33461 No data
CHANGE OF MAILING ADDRESS 2024-10-01 2925 10TH AVENUE NORTH, 201-B, PALM SPRINGS, FL 33461 No data
VOLUNTARY DISSOLUTION 2013-03-19 No data No data

Documents

Name Date
ANNUAL REPORT 2012-03-21
ANNUAL REPORT 2011-03-16
Domestic Profit 2010-10-18

Date of last update: 24 Jan 2025

Sources: Florida Department of State