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GOHAR S. KHAN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: GOHAR S. KHAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

GOHAR S. KHAN, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 May 1997 (28 years ago)
Document Number: P97000043559
FEI/EIN Number 593516850

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 905 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119
Mail Address: 905 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119
ZIP code: 32119
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083985873 2012-01-25 2012-01-25 905 BEVILLE RD, SOUTH DAYTONA, FL, 321191705, US 905 BEVILLE RD, SOUTH DAYTONA, FL, 321191705, US

Contacts

Phone +1 386-767-9000
Fax 3867673761

Authorized person

Name MISS DEDE SIEBENALER
Role OFFICE MANAGER
Phone 3867679000

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME0029698
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 254205600
State FL

Key Officers & Management

Name Role Address
KHAN GOHAR S President 905 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119
KHAN GOHAR S Director 905 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119
ZISKIND & ARVIN, P.A. Agent 444 BRICKELL AVENUE SUITE 905, MIAMI, FL, 33131

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-03-29
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-01-11

Date of last update: 03 Apr 2025

Sources: Florida Department of State