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ISSA.MED P.A. - Florida Company Profile

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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
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ISSA HANI President 2285 marsh hawk ln apt 1306, Fleming island, FL, 32003
ISSA HANI Secretary 2285 marsh hawk ln apt 1306, Fleming island, FL, 32003
ISSA HANI Treasurer 2285 marsh hawk ln apt 1306, Fleming island, FL, 32003
ISSA HANI Director 2285 marsh hawk ln apt 1306, Fleming island, FL, 32003
Issa Hani Agent 2285 Marsh Hawk Ln, Fleming Island, FL, 32003

National Provider Identifier

NPI Number:
1376217364
Certification Date:
2021-07-09

Authorized Person:

Name:
DR. HANI ISSA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-26 Issa, Hani -
REGISTERED AGENT ADDRESS CHANGED 2023-04-26 2285 Marsh Hawk Ln, Apt 1306, Fleming Island, FL 32003 -

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-02-19
Domestic Profit 2021-07-06

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Date of last update: 01 Jul 2025

Sources: Florida Department of State