| Entity Name: | NAILA KHAN, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jan 2014 (11 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P14000001881 |
| FEI/EIN Number | 46-4403737 |
| Address: | 37 SOUTH MAIN STREET, WILLISTON, FL, 32696, US |
| Mail Address: | P. O. BOX 80, WILLISTON, FL, 32696, US |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356765184 | 2014-02-14 | 2019-08-20 | 310 SW 15TH ST, OCALA, FL, 344716534, US | 310 SW 15TH ST, OCALA, FL, 344716534, US | |||||||||||||||||||
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| Phone | +1 352-505-7440 |
| Fax | 3525059471 |
Authorized person
| Name | NAILA KHAN |
| Role | OWNER |
| Phone | 9739518150 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME115573 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAN NAILA | Agent | 4138 SW 31ST PL, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| KHAN NAILA | President | P. O. BOX 80, WILLISTON, FL, 32696 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-22 | 37 SOUTH MAIN STREET, SUITE A, WILLISTON, FL 32696 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-22 | 37 SOUTH MAIN STREET, SUITE A, WILLISTON, FL 32696 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-22 | 4138 SW 31ST PL, OCALA, FL 34474 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-22 |
| Domestic Profit | 2014-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
