| Entity Name: | I & J MEDICAL INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jan 2020 (5 years ago) |
| Document Number: | P20000006345 |
| FEI/EIN Number | 84-4586232 |
| Mail Address: | 14004 NW 16TH DR, PEMBROKE PINES, FL, 33028, US |
| Address: | 14004 NW 16TH DR, PEMBROKE PINES, FL, 33028 |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578207387 | 2022-04-27 | 2022-04-27 | 14004 NW 16TH DR, PEMBROKE PINES, FL, 330283015, US | 14004 NW 16TH DR, PEMBROKE PINES, FL, 330283015, US | |||||||||||||||||||
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| Phone | +1 954-303-2700 |
Authorized person
| Name | SAMREEN MASOOD |
| Role | PRESIDENT |
| Phone | 9548052666 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1497174486 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MASOOD SAMREEN | Agent | 14004 NW 16TH DR, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| MASOOD SAMREEN | President | 14004 NW 16TH DR, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| NASIR SHEHZAD | Director | 14004 NW 16TH DR, PEMBROKE PINES, FL, 33028 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-20 |
| Domestic Profit | 2020-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
