| Entity Name: | HASSAN ALKHATIB MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Dec 2013 (11 years ago) |
| Document Number: | P13000097579 |
| FEI/EIN Number | 46-4277400 |
| Address: | 231 Riverside Drive, Unit 1107, Holly Hill, FL, 32117, US |
| Mail Address: | 231 Riverside Drive, Unit 1107, Holly Hill, FL, 32117, US |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699176529 | 2014-09-10 | 2014-09-10 | 2055 S ATLANTIC AVE APT 1103, DAYTONA BEACH SHORES, FL, 321185030, US | 2055 S ATLANTIC AVE APT 1103, DAYTONA BEACH SHORES, FL, 321185030, US | |||||||||||||||
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| Phone | +1 330-766-0682 |
| Fax | 8889590682 |
Authorized person
| Name | DR. HASSAN ALKHATIB |
| Role | PRESIDENT |
| Phone | 3307660682 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALKHATIB HASSAN | Agent | 231 Riverside Drive, Holly Hill, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| ALKHATIB HASSAN | President | 231 Riverside Drive, Holly Hill, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| ALKHATIB HASSAN | Treasurer | 231 Riverside Drive, Holly Hill, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| ALKHATIB HASSAN | Secretary | 231 Riverside Drive, Holly Hill, FL, 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-21 | 231 Riverside Drive, Unit 1107, Holly Hill, FL 32117 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-21 | 231 Riverside Drive, Unit 1107, Holly Hill, FL 32117 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-21 | 231 Riverside Drive, Unit 1107, Holly Hill, FL 32117 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
