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JAZMIN AWAN PA

Company Details

Entity Name: JAZMIN AWAN PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Mar 2011 (14 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P11000025793
FEI/EIN Number 45-0639650
Address: 20581 SW 2ND ST, PEMBROKE PINES, FL 33029
Mail Address: 20581 SW 2ND ST, PEMBROKE PINES, FL 33029
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275801383 2011-12-02 2011-12-02 20581 SW 2ND ST, PEMBROKE PINES, FL, 330295026, US 20581 SW 2ND ST, PEMBROKE PINES, FL, 330295026, US

Contacts

Phone +1 954-543-3603

Authorized person

Name JAZMIN AWAN
Role OCCUPATIONAL THERAPIST
Phone 9545433603

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
BEJAR, VALENTIN Agent 18611 SW 24TH STREET, MIRAMAR, FL 33029

President

Name Role Address
AWAN, JAZMIN President 20581 SW 2ND ST, PEMBROKE PINES, FL 33029

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2012-05-01
Domestic Profit 2011-03-15

Date of last update: 24 Jan 2025

Sources: Florida Department of State