| Entity Name: | POINCIANA INTERNAL MEDICINE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Oct 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Nov 2024 (3 months ago) |
| Document Number: | P13000089458 |
| FEI/EIN Number | 46-4013350 |
| Address: | 1144 Kelton Avenue,, Unit 1009, Ocoee, FL 34761 |
| Mail Address: | 1144 Kelton Avenue, Unit 1009, Ocoee, FL 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063841567 | 2013-11-05 | 2023-10-17 | 1144 KELTON AVE STE 1009, OCOEE, FL, 347613175, US | 1144 KELTON AVE STE 1009, OCOEE, FL, 347613175, US | |||||||||||||||
|
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| Phone | +1 407-553-8030 |
| Fax | 4075338035 |
Authorized person
| Name | TALHA SHAMIM |
| Role | OWNER |
| Phone | 0267982244 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAMIM, TALHA, M.D. | Agent | 1144 Kelton Avenue, Unit 1009, Ocoee, FL 34761 |
| Name | Role | Address |
|---|---|---|
| SHAMIM, TALHA, M.D. | President | 1144 Kelton Avenue, Unit 1009 Ocoee, FL 34761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000129758 | OCOEE INTERNAL MEDICINE | ACTIVE | 2023-10-19 | 2028-12-31 | No data | 1144 KELTON AVENUE, UNIT 1009, OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-17 | 1144 Kelton Avenue, Unit 1009, Ocoee, FL 34761 | No data |
| REINSTATEMENT | 2023-10-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-17 | 1144 Kelton Avenue,, Unit 1009, Ocoee, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-17 | 1144 Kelton Avenue,, Unit 1009, Ocoee, FL 34761 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2022-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-07 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-26 |
| REINSTATEMENT | 2023-10-17 |
| REINSTATEMENT | 2022-10-12 |
| REINSTATEMENT | 2021-10-07 |
| ANNUAL REPORT | 2020-07-07 |
| AMENDED ANNUAL REPORT | 2019-12-26 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-07-02 |
| ANNUAL REPORT | 2017-05-22 |
| ANNUAL REPORT | 2016-02-02 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
