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FAISAL HUDA MD, PA

Company Details

Entity Name: FAISAL HUDA MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jul 2016 (9 years ago)
Document Number: P16000063060
FEI/EIN Number 81-3459578
Address: 8910 NW 38th Street, Cooper City, FL, 33024, US
Mail Address: 8910 NW 38th Street, Cooper City, FL, 33024, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902346075 2017-03-08 2019-02-19 13856 NW 21ST ST, PEMBROKE PINES, FL, 330282619, US 18501 PINES BLVD STE 211, PEMBROKE PINES, FL, 330291420, US

Contacts

Phone +1 954-417-1330
Fax 9546371955

Authorized person

Name FAISAL HUDA
Role PRESIDENT
Phone 9544171330

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
License Number ME 115739
State FL
Is Primary Yes

Agent

Name Role Address
HUDA FAISAL Agent 8910 NW 38th Street, Cooper City, FL, 33024

President

Name Role Address
HUDA FAISAL President 8910 NW 38th Street, Cooper City, FL, 33024

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000008288 PEDIATRIC ANESTHESIA SOLUTIONS EXPIRED 2017-01-23 2022-12-31 No data 13856 NW 21ST STREET, PEMBROKE PINES, FL, 33028

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-30 8910 NW 38th Street, Cooper City, FL 33024 No data
CHANGE OF MAILING ADDRESS 2022-04-30 8910 NW 38th Street, Cooper City, FL 33024 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-30 8910 NW 38th Street, Cooper City, FL 33024 No data
REGISTERED AGENT NAME CHANGED 2020-06-25 HUDA, FAISAL No data

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-04-01
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-04-08
Domestic Profit 2016-07-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State