| Entity Name: | AMANA MEDICAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
AMANA MEDICAL CENTER, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Mar 2012 (13 years ago) |
| Document Number: | P12000025577 |
| FEI/EIN Number |
45-4800075
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 220 ALAFAYA WOODS BLVD., SUITE 1000, OVIEDO, FL, 32765 |
| Mail Address: | 220 ALAFAYA WOODS BLVD., SUITE 1000, OVIEDO, FL, 32765 |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891051249 | 2012-04-10 | 2018-08-25 | 220 ALAFAYA WOODS BLVD, 1000, OVIEDO, FL, 327657092, US | 220 ALAFAYA WOODS BLVD, 1000, OVIEDO, FL, 32765, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-542-7335 |
| Fax | 4075427338 |
Authorized person
| Name | DR. JAMAL A ABUSUWA |
| Role | PRESIDENT |
| Phone | 4075427335 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME87949 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME87949 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME87949 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 0033B |
| State | FL |
| Issuer | MEDICARE GROUP PROVIDER NO |
| Number | GF041A |
| State | FL |
| Issuer | MEDICAID |
| Number | 023370100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABUSUWA JAMAL A | Director | 220 ALAFAYA WOODS BLVD., OVIEDO, FL, 327656212 |
| ABUSUWA JAMAL A | President | 220 ALAFAYA WOODS BLVD., OVIEDO, FL, 327656212 |
| ABUSUWA JAMAL A | Secretary | 220 ALAFAYA WOODS BLVD., OVIEDO, FL, 327656212 |
| ABUSUWA JAMAL A | Treasurer | 220 ALAFAYA WOODS BLVD., OVIEDO, FL, 327656212 |
| ABUSUWA JAMAL A | Agent | 220 ALAFAYA WOODS BLVD., OVIEDO, FL, 327656212 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-14 | 220 ALAFAYA WOODS BLVD., SUITE 1000, OVIEDO, FL 32765-6212 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-09 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 02 May 2025
Sources: Florida Department of State
