| Entity Name: | MOHAMMAD A. FAISAL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Feb 1997 (28 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 May 2015 (10 years ago) |
| Document Number: | P97000018713 |
| FEI/EIN Number | 59-3428500 |
| Mail Address: | P.O. BOX 3009, LAKE CITY, FL 32056 |
| Address: | 1283 SW STATE RD 47, STE 104, LAKE CITY, FL 32025 |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FAISAL, MOHAMMAD A | Agent | 1283 SW STATE RD 47, SUITE 104, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| FAISAL, MOHAMMAD A, M.D. | President | 1283 SW STATE RD 47 STE 104, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| Polbos, Nicole, ARNP | Vice President | 1283 sw state rd 47, Suite 104 lake city, FL 32056 |
| Name | Role | Address |
|---|---|---|
| Bryant, Lindsay | Secretary | 1283 SW STATE RD 47, STE 104 LAKE CITY, FL 32025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000116024 | GASTROENTEROLOGY OF NORTH FLORIDA | EXPIRED | 2016-10-26 | 2021-12-31 | No data | PO BOX 3009, LAKE CITY, FL, 32056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2015-05-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-06-20 | 1283 SW STATE RD 47, SUITE 104, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-25 | 1283 SW STATE RD 47, STE 104, LAKE CITY, FL 32025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-09 | 1283 SW STATE RD 47, STE 104, LAKE CITY, FL 32025 | No data |
| REINSTATEMENT | 1998-11-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-02-05 |
| AMENDED ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
