| Entity Name: | AWAIS K HUMAYUN MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
AWAIS K HUMAYUN MD PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Sep 2014 (11 years ago) |
| Document Number: | P14000073797 |
| FEI/EIN Number |
47-1525907
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL, 33328, US |
| Mail Address: | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326448531 | 2014-08-26 | 2023-03-07 | 4801 S UNIVERSITY DR STE 104, DAVIE, FL, 333283835, US | 4801 S UNIVERSITY DR STE 104, DAVIE, FL, 333283835, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-707-5200 |
| Fax | 9545264562 |
Authorized person
| Name | AWAIS K HUMAYUN |
| Role | OWNER/ELECTROPHYSIOLOGIST |
| Phone | 9547075200 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME78681 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| License Number | ME78681 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113730500 |
| State | FL |
| Issuer | INDIVIDUAL NPI# FOR AWAIS K HUMAYUN |
| Number | 1346288768 |
| State | FL |
| Issuer | INDIVIDUAL MEDICAID # FOR AWAIS K HUMAYUN |
| Number | 269706800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUMAYUN AWAIS KDr. | President | 4801 South University Drive, Davie, FL, 33328 |
| Humayun Lisa | Treasurer | 4801 South University Drive, Davie, FL, 33328 |
| Humayun Lisa A | Agent | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL, 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000095477 | HEART RHYTHM SOLUTIONS | ACTIVE | 2015-09-08 | 2025-12-31 | - | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-20 | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL 33328 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-20 | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL 33328 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-16 | 4801 SOUTH UNIVERSITY DRIVE, SUITE 104, DAVIE, FL 33328 | - |
| REGISTERED AGENT NAME CHANGED | 2015-09-09 | Humayun, Lisa A | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000082992 | TERMINATED | 1000000734150 | BROWARD | 2017-02-03 | 2027-02-10 | $ 335.21 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5011057105 | 2020-04-13 | 0455 | PPP | 4801 S UNIVERSITY DR, FORT LAUDERDALE, FL, 33328-3800 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 May 2025
Sources: Florida Department of State
