| Entity Name: | BOKHARI MEDICAL CONSORTIUM INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Jun 2022 (3 years ago) |
| Document Number: | P22000048573 |
| FEI/EIN Number | 88-2778413 |
| Address: | 716 SEMINOLE BLVD, LARGO, FL, 33770, US |
| Mail Address: | 716 SEMINOLE BLVD, LARGO, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982314241 | 2022-11-28 | 2023-11-09 | 716 SEMINOLE BLVD, LARGO, FL, 337703627, US | 716 SEMINOLE BLVD, LARGO, FL, 337703627, US | |||||||||||||||||||||||||
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| Phone | +1 727-238-3241 |
| Fax | 7272388402 |
| Phone | +1 844-229-8671 |
Authorized person
| Name | HASSAN BOKHARI |
| Role | MEDICAL DIRECTORY |
| Phone | 8442298671 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BOKHARI HASSAN | Agent | 716 SEMINOLE BLVD, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| BOKHARI HASSAN | President | 14318 Avon Farms Dr, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-07 | 716 SEMINOLE BLVD, LARGO, FL 33770 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-07 | 716 SEMINOLE BLVD, LARGO, FL 33770 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-07 | 716 SEMINOLE BLVD, LARGO, FL 33770 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-04-07 |
| Domestic Profit | 2022-06-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
