| Entity Name: | DR. RAHAT FADERANI, DO, MPH, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Jun 2011 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Jul 2014 (10 years ago) |
| Document Number: | P11000051996 |
| FEI/EIN Number | 45-2403269 |
| Address: | 1600 S. FEDERAL HWY SUITE 640, POMPANO BEACH, FL 33062 |
| Mail Address: | 1600 S. FEDERAL HWY SUITE 640, POMPANO BEACH, FL 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326307919 | 2012-05-16 | 2012-05-16 | PO BOX 3821, LANTANA, FL, 334653821, US | 5913 S CONGRESS AVE, LAKE WORTH, FL, 334621303, US | |||||||||||||||
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| Phone | +1 561-543-8888 |
| Fax | 8886638123 |
Authorized person
| Name | DR. RAHAT FADERANI |
| Role | DOCTOR, OWNER |
| Phone | 5615438888 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR. RAHAT FADERANI, DO, MPH, PA 401(K) PLAN | 2018 | 452403269 | 2019-09-26 | DR. RAHAT FADERANI, DO, MPH, PA | 12 | |||||||||||||
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| DR. RAHAT FADERANI, DO, MPH, PA 401(K) PLAN | 2017 | 452403269 | 2018-09-17 | DR. RAHAT FADERANI, DO, MPH, PA | 3 | |||||||||||||
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| DR. RAHAT FADERANI, DO, MPH, PA 401(K) PLAN | 2016 | 452403269 | 2017-10-16 | DR. RAHAT FADERANI, DO, MPH, PA | 3 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| TOPKIN, SANFORD R | Agent | 1166 W. NEWPORT CENTER DRIVE, SUITE 309, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| FADERANI, RAHAT | President | PO BOX 3821, LANTANA, FL 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-07-28 | 1600 S. FEDERAL HWY SUITE 640, POMPANO BEACH, FL 33062 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-07-28 | TOPKIN, SANFORD R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-07-28 | 1166 W. NEWPORT CENTER DRIVE, SUITE 309, DEERFIELD BEACH, FL 33442 | No data |
| AMENDMENT | 2014-07-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-28 | 1600 S. FEDERAL HWY SUITE 640, POMPANO BEACH, FL 33062 | No data |
| REINSTATEMENT | 2012-11-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-01-21 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
