| Entity Name: | KHALED O. SHEBANI MD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Mar 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P11000024368 |
| FEI/EIN Number | 35-2404603 |
| Address: | 1500 SE MAGNOLIA EXT., SUITE 201, OCALA, FL 34471 |
| Mail Address: | 1500SE MAGNOLIA EXT, SUITE 201, OCALA, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700176484 | 2011-04-14 | 2011-07-05 | 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 344714463, US | 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 344714463, US | |||||||||||||||||||
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| Phone | +1 352-620-2711 |
| Fax | 3526202712 |
Authorized person
| Name | DR. KHALED OMAR SHEBANI |
| Role | PRESIDENT |
| Phone | 3526202711 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME95263 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHEBANI, KHALED O | Agent | 1500 SE MAGNOLIA EXT, 201, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| SHEBANI, SHEBANI O | President | 1500 SE MANOLIA EXT STE 201, OCALA, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-26 | 1500 SE MAGNOLIA EXT., SUITE 201, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-26 | 1500 SE MAGNOLIA EXT, 201, OCALA, FL 34471 | No data |
| AMENDMENT | 2011-07-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-07-25 | 1500 SE MAGNOLIA EXT., SUITE 201, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-07-25 | SHEBANI, KHALED O | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-07-02 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-26 |
| Amendment | 2011-07-25 |
| Domestic Profit | 2011-03-09 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
