| Entity Name: | M.MOHIUDDIN PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Jun 2015 (10 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: | P15000051587 |
| FEI/EIN Number | 47-4263367 |
| Address: | 9386 Carrington Ave, parkland, FL 33076 |
| Mail Address: | 9386 Carrington ave, Parkland, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528505898 | 2017-01-25 | 2017-01-25 | 5645 CORAL RIDGE DR, SUITE 274, CORAL SPRINGS, FL, 330763124, US | 9980 CENTRAL PARK BLVD N, SUITE 312, BOCA RATON, FL, 334281762, US | |||||||||||||||||
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| Phone | +1 954-415-4421 |
Authorized person
| Name | SARIKA BADGAMIA |
| Role | BILLING MANAGER |
| Phone | 9544154421 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME108828 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Zafar, Syed | Agent | 4900 SW 74 Ct, Miami, FL 33155 |
| Name | Role | Address |
|---|---|---|
| MOHIUDDIN, MOHAMMED | President | 9386 Carrington Ave, Parkland, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-09 | 9386 Carrington Ave, parkland, FL 33076 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-09 | Zafar, Syed | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-09 | 4900 SW 74 Ct, Miami, FL 33155 | No data |
| REINSTATEMENT | 2020-10-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-09 | 9386 Carrington Ave, parkland, FL 33076 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-10-05 |
| REINSTATEMENT | 2020-10-09 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-04-28 |
| Domestic Profit | 2015-06-11 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
