| Entity Name: | MOHAMMAD FARSAKH MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jan 2020 (5 years ago) |
| Document Number: | P20000008013 |
| FEI/EIN Number | 84-4546949 |
| Address: | 2535 SW 115th Dr, GAINESVILLE, FL, 32608, US |
| Mail Address: | 2535 SW 115th Dr, GAINESVILLE, FL, 32608, US |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831725118 | 2020-03-18 | 2020-03-18 | PO BOX 357612, GAINESVILLE, FL, 326357612, US | 6500 W NEWBERRY RD, GAINESVILLE, FL, 326054309, US | |||||||||||||
|
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| Phone | +1 352-333-4000 |
Authorized person
| Name | MOHAMMAD ABU-FARSAKH |
| Role | PRESIDENT |
| Phone | 3522841561 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ABU-FARSAKH MOHAMMAD G | Agent | 2535 SW 115th Dr, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ABU-FARSAKH MOHAMMAD GP | President | 2535 SW 115th Dr, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-19 | 2535 SW 115th Dr, GAINESVILLE, FL 32608 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-19 | 2535 SW 115th Dr, GAINESVILLE, FL 32608 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-19 | ABU-FARSAKH, MOHAMMAD G | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-19 | 2535 SW 115th Dr, GAINESVILLE, FL 32608 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-04 |
| Domestic Profit | 2020-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
