| Entity Name: | HAITAO ZHANG MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 May 2019 (6 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P19000045174 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 3688 BURNT PINE DRIVE, JACKSONVILLE, FL, 32224, UN |
| Mail Address: | 3688 BURNT PINE DRIVE, JACKSONVILLE, FL, 32224, UN |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356998975 | 2019-08-19 | 2022-02-22 | 10175 FORTUNE PKWY, JACKSONVILLE, FL, 322566746, US | 10175 FORTUNE PKWY UNIT 803, JACKSONVILLE, FL, 322566754, US | |||||||||||||||||||||||
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| Phone | +1 904-718-6929 |
| Fax | 9042014057 |
Authorized person
| Name | DR. HAITAO ZHANG |
| Role | PRESIDENT |
| Phone | 9047186929 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ZHANG HAITAO | Agent | 3688 BURNT PINE DRIVE, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| Zhang Haitao | Authorized Member | 3688 Burnt Pine Dr., Jacksonville, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-06-24 |
| Domestic Profit | 2019-05-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
