| Entity Name: | JEMAAR GRAHAM, DPM, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 May 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P17000044795 |
| FEI/EIN Number | 82-1620184 |
| Address: | 12839 GRAND BANK LN, ORLANDO, FL, 32825, US |
| Mail Address: | 12839 GRAND BANK LN, ORLANDO, FL, 32825, US |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922535830 | 2017-05-23 | 2017-05-23 | 12839 GRAND BANK LN, ORLANDO, FL, 328252737, US | 12839 GRAND BANK LN, ORLANDO, FL, 328252737, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 863-398-6309 |
Authorized person
| Name | DR. JEMAAR LEKEI GRAHAM |
| Role | CHIEF EXECUTIVE OFFICIER |
| Phone | 8633986309 |
Taxonomy
| Taxonomy Code | 261QP1100X - Podiatric Clinic/Center |
| License Number | PO3096 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAHAM JEMAAR L | Agent | 12839 GRAND BANK LN, ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| GRAHAM JEMAAR L | President | 12839 GRAND BANK LN, ORLANDO, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-30 |
| Domestic Profit | 2017-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
