| Entity Name: | ISMAIL M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Apr 2014 (11 years ago) |
| Document Number: | P14000034529 |
| FEI/EIN Number | 46-5431141 |
| Address: | 7601 W Cypresshead Drive, Parkland, FL 33067 |
| Mail Address: | 7601 W Cypresshead Drive, Parkland, FL 33067 |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679971030 | 2014-12-16 | 2022-11-08 | 10000 W SAMPLE RD STE A, CORAL SPRINGS, FL, 330653936, US | 10000 W SAMPLE RD STE A, CORAL SPRINGS, FL, 330653936, US | |||||||||||||||||||||||
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| Phone | +1 954-601-6321 |
| Fax | 9542311227 |
Authorized person
| Name | MUHAMMAD IQBAL ISMAIL |
| Role | OWNER/PRESIDENT |
| Phone | 9548498986 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME67059 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ISMAIL, MUHAMMAD I | Agent | 7601 W Cypresshead Drive, Parkland, FL 33067 |
| Name | Role | Address |
|---|---|---|
| ISMAIL, MUHAMMAD I | President | 7601 W Cypresshead Drive, Parkland, FL 33067 |
| Name | Role | Address |
|---|---|---|
| ISMAIL, MUHAMMAD I | Director | 7601 W Cypresshead Drive, Parkland, FL 33067 |
| Name | Role | Address |
|---|---|---|
| ISMAIL, SAIQA IQBAL | Vice President | 7601 W Cypresshead Drive, Parkland, FL 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-17 | 7601 W Cypresshead Drive, Parkland, FL 33067 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-17 | 7601 W Cypresshead Drive, Parkland, FL 33067 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-17 | 7601 W Cypresshead Drive, Parkland, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-08 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-07-04 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
