| Entity Name: | SAMIRA KHAZRAVAN MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Apr 2016 (9 years ago) |
| Document Number: | P16000038309 |
| FEI/EIN Number | 26-2492965 |
| Mail Address: | 4411 SUNBEAM RD, JACKSONVILE, FL, 32241, US |
| Address: | 6817 Southpoint Parkway suite 1603, JACKSONVILLE, Jacksonville, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| KHAZRAVAN SAMIRA M.D | Agent | 4411 SUNBEAM RD, JACKSONVILE, FL, 32241 |
| Name | Role | Address |
|---|---|---|
| KHAZRAVAN SAMIRA M.D | President | 4411 SUNBEAM RD, JACKSONVILE, FL, 32241 |
| Name | Role | Address |
|---|---|---|
| KHAZRAVAN SAMIRA M.D | Secretary | 4411 SUNBEAM RD, JACKSONVILE, FL, 32241 |
| Name | Role | Address |
|---|---|---|
| KHAZRAVAN SAMIRA M.D | Chief Financial Officer | 4411 SUNBEAM RD, JACKSONVILE, FL, 32241 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-17 | 6817 Southpoint Parkway suite 1603, JACKSONVILLE, Jacksonville, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-12 | 6817 Southpoint Parkway suite 1603, JACKSONVILLE, Jacksonville, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-12 | KHAZRAVAN, SAMIRA, M.D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-12 | 4411 SUNBEAM RD, #56452, JACKSONVILE, FL 32241 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-09-20 |
| ANNUAL REPORT | 2017-05-05 |
| Domestic Profit | 2016-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
