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ATLANTIC CARDIOLOGY & MEDICAL SPECIALISTS, PA - Florida Company Profile

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Company Details

Entity Name: ATLANTIC CARDIOLOGY & MEDICAL SPECIALISTS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Sep 2011 (14 years ago)
Document Number: P11000083478
FEI/EIN Number 453419164
Address: 731 Dunlawton Ave, Suite 101 & 102, Port Orange, FL, 32127, US
Mail Address: 731 Dunlawton Ave, Suite 101 & 102, Port Orange, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAMSIN AHMAD President 731 Dunlawton Ave, Port Orange, FL, 32127
Mea Wafa Secretary 731 Dunlawton Ave, Port Orange, FL, 32127
Shamsin Rana Exec 731 Dunlawton Ave, Port Orange, FL, 32127
Cole Amanda L Agent 731 Dunlawton Ave, Port Orange, FL, 32127

National Provider Identifier

NPI Number:
1346524337

Authorized Person:

Name:
DR. AHMAD SHAMSIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3867679769

Form 5500 Series

Employer Identification Number (EIN):
453419164
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-02-11 Cole, Amanda L -
REGISTERED AGENT ADDRESS CHANGED 2014-02-11 731 Dunlawton Ave, Suite 101 & 102, Port Orange, FL 32127 -
CHANGE OF PRINCIPAL ADDRESS 2013-04-08 731 Dunlawton Ave, Suite 101 & 102, Port Orange, FL 32127 -
CHANGE OF MAILING ADDRESS 2013-04-08 731 Dunlawton Ave, Suite 101 & 102, Port Orange, FL 32127 -

Documents

Name Date
ANNUAL REPORT 2025-02-19
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-04-15

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Date of last update: 03 Aug 2025

Sources: Florida Department of State