| Entity Name: | MAHA MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Aug 2012 (12 years ago) |
| Document Number: | P12000071271 |
| FEI/EIN Number | 46-0811922 |
| Address: | 3939 HOLLYWOOD BLVD, SUITE 2-B, HOLLYWOOD, FL 33021 |
| Mail Address: | 3939 HOLLYWOOD BLVD, SUITE 2-B, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861740946 | 2012-08-21 | 2012-08-21 | 3939 HOLLYWOOD BLVD, SUITE 2-B, HOLLYWOOD, FL, 330216749, US | 3939 HOLLYWOOD BLVD, SUITE 2-B, HOLLYWOOD, FL, 330216749, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-983-1113 |
Authorized person
| Name | DR. ZAFAR QURESHI |
| Role | PRESIDENT |
| Phone | 9549831113 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0073654 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 254095900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| QURESHI, ZAFAR | Agent | 3939 HOLLYWOOD BLVD, 2-B, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| QURESHI, ZAFAR | President | 3939 HOLLYWOOD BLVD, SUITE 2-B, HOLLYWOOD, FL 33021 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
