ISSA.MED P.A.

Company Details

Entity Name:	ISSA.MED P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	06 Jul 2021 (4 years ago)
Document Number:	P21000062333
FEI/EIN Number	87-1547252
Address:	1907 ATLANTIC BLVD, JACKSONVILLE, FL, 32207, US
Mail Address:	1907 ATLANTIC BLVD, JACKSONVILLE, FL, 32207, US
ZIP code:	32207
County:	Duval
Place of Formation:	FLORIDA

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1376217364

2021-08-04

1907 ATLANTIC BLVD STE 1, JACKSONVILLE, FL, 322073405, US

2 PAVILLION PLACE, PENNEY FARMS, FL, 32079, US

Contacts

Phone

+1 217-416-6431

Authorized person

Taxonomy

Taxonomy Code	207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary	Yes

Name	Role	Address
Issa Hani	Agent	2285 Marsh Hawk Ln, Fleming Island, FL, 32003

Name	Role	Address
ISSA HANI	President	2285 marsh hawk ln apt 1306, Fleming island, FL, 32003

Name	Role	Address
ISSA HANI	Secretary	2285 marsh hawk ln apt 1306, Fleming island, FL, 32003

Name	Role	Address
ISSA HANI	Treasurer	2285 marsh hawk ln apt 1306, Fleming island, FL, 32003

Name	Role	Address
ISSA HANI	Director	2285 marsh hawk ln apt 1306, Fleming island, FL, 32003

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2023-04-26	Issa, Hani	No data
REGISTERED AGENT ADDRESS CHANGED	2023-04-26	2285 Marsh Hawk Ln, Apt 1306, Fleming Island, FL 32003	No data

Date of last update: 01 Feb 2025