| Entity Name: | FAMILY MEDICINE ASSOCIATES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Oct 2016 (8 years ago) |
| Document Number: | P16000081003 |
| FEI/EIN Number | 30-0954985 |
| Mail Address: | 9910 S. Miralago Way, Parkland, FL, 33076, US |
| Address: | 7351 W OAKLAND PARK BLVD, LAUDERHILL, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700338860 | 2016-10-25 | 2016-11-10 | 7351 W OAKLAND PARK BLVD, 103, TAMARAC, FL, 333197107, US | 7351 W OAKLAND PARK BLVD, 103, TAMARAC, FL, 333197107, US | |||||||||||||||
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| Phone | +1 954-716-6100 |
| Fax | 9545330870 |
Authorized person
| Name | MOHAMMED FEROZ ALLAHRAKHA |
| Role | PRESIDENT |
| Phone | 9547166100 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLAHRAKHA MOHAMMED F | Agent | 7351 W OAKLAND PARK BLVD, LAUDERHILL, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| ALLAHRAKHA MOHAMMED F | President | 7351 W OAKLAND PARK BLVD, LAUDERHILL, FL, 33319 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000116718 | WALK-IN MEDICAL CENTER | ACTIVE | 2016-10-26 | 2026-12-31 | No data | 7351 W. OAKLAND PARK BLVD, SUITE 103, LAUDERHILL, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-09 | 7351 W OAKLAND PARK BLVD, SUITE 101, LAUDERHILL, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-09 | 7351 W OAKLAND PARK BLVD, SUITE 101, LAUDERHILL, FL 33319 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-07 | 7351 W OAKLAND PARK BLVD, SUITE 103, LAUDERHILL, FL 33319 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-07 |
| Domestic Profit | 2016-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
