| Entity Name: | INTEAM HEALTH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Apr 2020 (5 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: | P20000032284 |
| FEI/EIN Number | 85-0833574 |
| Mail Address: | 8059 LEAF GROVE CIRCLE, ORLANDO, FL, 32836, US |
| Address: | 11977 S APOPKA VINELAND RD, ORLANDO, FL, 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639791601 | 2020-05-13 | 2020-05-13 | 10849 EMERALD CHASE DR, ORLANDO, FL, 328365881, US | 11977 S APOPKA VINELAND RD, ORLANDO, FL, 328367025, US | |||||||||||||||||||
|
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| Phone | +1 407-782-6281 |
Authorized person
| Name | SHEIKH K JASIMUDDIN |
| Role | DIRECTOR |
| Phone | 4077826281 |
Taxonomy
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280949400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JASIMUDDIN SHEIKH K | Agent | 11977 S APOPKA VINELAND ROAD, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| JASIMUDDIN SHEIKH K | President | 11977 S APOPKA VINELAND RD, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| SHEIKH IRKAN Z | Secretary | 11977 S APOPKA VINELAND RD, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-06-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-16 | 11977 S APOPKA VINELAND RD, ORLANDO, FL 32836 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-06-16 | JASIMUDDIN, SHEIKH K | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-06-16 |
| Domestic Profit | 2020-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
