ASIF KAMAL, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name:	ASIF KAMAL, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	12 Mar 2014 (11 years ago)
Document Number:	P14000022770
FEI/EIN Number	46-5091788
Address:	21202 OLEAN BLVD, PORT CHARLOTTE, FL, 33952, US
Mail Address:	21202 OLEAN BLVD, PORT CHARLOTTE, FL, 33952, US
ZIP code:	33952
City:	Port Charlotte
County:	Charlotte
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
KAMAL ASIF M.D.	Director	21202 Olean Blvd C-1, PORT CHARLOTTE, FL, 33952
HOLMES DAVID AEsq.	Agent	FARR LAW FIRM P.A., PUNTA GORDA, FL, 33950

National Provider Identifier

NPI Number:

1447678438

Certification Date:

2024-08-06

Link:

View on NPI website

Authorized Person:

Name:

BONNIE RUSSELL

Role:

ADMINISTRATOR

Phone:

9418897440

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 941-889-7440

Fax:

9413916089

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G17000107107	TIMELESSBEAUTY MEDISPA	EXPIRED	2017-09-27	2022-12-31	-	3005 CARING WAY, UNIT 1, PORT CHARLOTTE, FL, 33952

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT ADDRESS CHANGED	2024-04-09	FARR LAW FIRM P.A., 99 NESBIT STREET, PUNTA GORDA, FL 33950	-
REGISTERED AGENT NAME CHANGED	2022-03-04	HOLMES, DAVID A., Esq.	-
CHANGE OF PRINCIPAL ADDRESS	2019-08-19	21202 OLEAN BLVD, UNIT C1, PORT CHARLOTTE, FL 33952	-
CHANGE OF MAILING ADDRESS	2019-08-19	21202 OLEAN BLVD, UNIT C1, PORT CHARLOTTE, FL 33952	-

Documents

Name	Date
ANNUAL REPORT	2024-04-09
ANNUAL REPORT	2023-04-06
ANNUAL REPORT	2022-03-04
ANNUAL REPORT	2021-05-01
AMENDED ANNUAL REPORT	2020-06-29
ANNUAL REPORT	2020-04-30
ANNUAL REPORT	2019-04-18
ANNUAL REPORT	2018-04-18
ANNUAL REPORT	2017-04-24
ANNUAL REPORT	2016-04-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State