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BURHAN RIAZ MD INC. - Florida Company Profile

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Company Details

Entity Name: BURHAN RIAZ MD INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Oct 2024 (10 months ago)
Document Number: P24000067594
FEI/EIN Number 33-1622973
Address: 646 HILLS BLVD, PORT ORANGE, FL, 32127, US
Mail Address: 646 HILLS BLVD, PORT ORANGE, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RIAZ BURHAN Manager 646 HILLS BLVD, PORT ORANGE, FL, 32127
RIAZ BURHAN Agent 646 HILLS BLVD, PORT ORANGE, FL, 32127

National Provider Identifier

NPI Number:
1841014594
Certification Date:
2025-05-20

Authorized Person:

Name:
DR. BURHAN RIAZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2132051193

Documents

Name Date
Domestic Profit 2024-10-31

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Date of last update: 02 Aug 2025

Sources: Florida Department of State