Entity Name: | A ABDALLA, INC.. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Sep 2016 (8 years ago) |
Last Event: | ARTICLES OF CORRECTION/NAME CHANGE |
Event Date Filed: | 20 Oct 2016 (8 years ago) |
Document Number: | P16000078345 |
FEI/EIN Number | 81-5261436 |
Address: | 7603 Lem Turner, JACKSONVILLE, FL, 32208, US |
Mail Address: | 2839 MARMARIS DR, JACKSONVILLE, FL, 32246, US |
ZIP code: | 32208 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1396283628 | 2017-02-07 | 2020-12-23 | 7603 LEM TURNER RD, JACKSONVILLE, FL, 322083252, US | 7603 LEM TURNER RD, JACKSONVILLE, FL, 322083252, US | |||||||||||||||||||
|
Phone | +1 904-329-3336 |
Fax | 9045278919 |
Authorized person
Name | MELISSA COCHRAN |
Role | CREDENTIALING COORDINATOR |
Phone | 9047372722 |
Taxonomy
Taxonomy Code | 207RN0300X - Nephrology Physician |
License Number | ME128260 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BATAINEH MOHAMMAD R | Agent | 7603 Lem Turner, JACKSONVILLE, FL, 32208 |
Name | Role | Address |
---|---|---|
ABDALLA ATIF A | President | 2839 Marmaris Drive, JACKSONVILLE, FL, 32246 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2022-03-09 | 7603 Lem Turner, JACKSONVILLE, FL 32208 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-01-23 | 7603 Lem Turner, JACKSONVILLE, FL 32208 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 7603 Lem Turner, JACKSONVILLE, FL 32208 | No data |
ARTICLES OF CORRECT-ION/NAME CHANGE | 2016-10-20 | A ABDALLA, INC.. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-23 |
ANNUAL REPORT | 2023-04-25 |
ANNUAL REPORT | 2022-03-09 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-01-23 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-04-28 |
ANNUAL REPORT | 2017-05-01 |
Domestic Profit | 2016-09-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State