| Entity Name: | MOHAMMAD NASAR M.D PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 May 2012 (13 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: | P12000045640 |
| Address: | 3385 BURNS RD, STE 208, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 3385 BURNS RD, STE 208, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528326162 | 2012-05-02 | 2013-04-21 | 3385 BURNS RD STE 208, PALM BEACH GARDENS, FL, 334104328, US | 3385 BURNS RD STE 208, PALM BEACH GARDENS, FL, 334104328, US | |||||||||||||||||||||||
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| Phone | +1 786-487-1395 |
Authorized person
| Name | RIZWAN KHAN |
| Role | OPERATIONS MANAGER |
| Phone | 7863528786 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME100359 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | ME-100359 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NASAR, MOHAMMAD N | Agent | 8131 WOODSMUIR DR, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| NASAR, MOHAMMAD N | President | 8131 WOODSMUIR DR, WEST PALM BEACH, FL 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-06-10 | 3385 BURNS RD, STE 208, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2013-06-10 | 3385 BURNS RD, STE 208, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2012-05-16 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
