| Entity Name: | NAYER N. KHOUZAM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NAYER N. KHOUZAM, 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: | 07 Aug 1997 (28 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Jul 2011 (14 years ago) |
| Document Number: | P97000068577 |
| FEI/EIN Number |
593461728
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3802 OAKWATER CIRCLE, STE. 3, ORLANDO, FL, 32806 |
| Mail Address: | P.O. BOX 1046, WINDERMERE, FL, 34786 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396784393 | 2006-06-05 | 2009-11-30 | 3802 OAKWATER CIR, SUITE 3, ORLANDO, FL, 328066200, US | 3802 OAKWATER CIR, SUITE 3, ORLANDO, FL, 328066200, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-650-0000 |
| Fax | 4076508757 |
Authorized person
| Name | DR. NAYER N KHOUZAM |
| Role | PRESIDENT |
| Phone | 4076500000 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 48829 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ME NUMBER |
| Number | 48829 |
| State | FL |
| Issuer | MEDICAID |
| Number | 375411100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NAYER N. KHOUZAM, M.D., P.A. PROFIT SHARING PLAN | 2009 | 593461728 | 2010-06-28 | NAYER N. KHOUZAM, M.D., P.A | 3 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593461728 |
| Plan administrator’s name | NAYER N. KHOUZAM, M.D., P.A |
| Plan administrator’s address | 3802 OAKWATER CIRCLE, SUITE 3, ORLANDO, FL, 32806 |
| Administrator’s telephone number | 4076500000 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-28 |
| Name of individual signing | NAYER KHOUZAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-28 |
| Name of individual signing | NAYER KHOUZAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4076500000 |
| Plan sponsor’s address | 3802 OAKWATER CIRCLE, SUITE 3, ORLANDO, FL, 32806 |
Plan administrator’s name and address
| Administrator’s EIN | 593461728 |
| Plan administrator’s name | NAYER N. KHOUZAM, M.D., P.A |
| Plan administrator’s address | 3802 OAKWATER CIRCLE, SUITE 3, ORLANDO, FL, 32806 |
| Administrator’s telephone number | 4076500000 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-06-07 |
| Name of individual signing | NAYER N. KHOUZAM, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KHOUZAM NAYER N | Director | 3802 OAKWATER CIRCLE SUITE 3, ORLANDO, FL, 32806 |
| KHOUZAM NAYER | Agent | 3802 OAKWATER CIRCLE, ORLANDO, FL, 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2011-07-06 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2003-01-31 | KHOUZAM, NAYER | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-11-06 | 3802 OAKWATER CIRCLE, STE. 3, ORLANDO, FL 32806 | - |
| CHANGE OF MAILING ADDRESS | 2002-11-06 | 3802 OAKWATER CIRCLE, STE. 3, ORLANDO, FL 32806 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2002-11-06 | 3802 OAKWATER CIRCLE, STE. 3, ORLANDO, FL 32806 | - |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ADVENTIST HEALTH SYSTEM, SUNBELT, INC. D/B/A ADVENTHEALTH F/K/A FLORIDA HOSPITAL ORLANDO, JOHN DAVID MOOREHEAD, M.D., AND NEIL FINKLER, M.D. VS CHARLENE ATKINSON, DONNA BALL, D BALL NP, LLC, NAYER KHOUZAM, M.D., NAYER N. KHOUZAM, M.D., P.A., REED K. SMITH, M.D., ET AL | 5D2022-0804 | 2022-04-04 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Adventhealth |
| Role | Petitioner |
| Status | Active |
| Name | Florida Hospital Orlando |
| Role | Petitioner |
| Status | Active |
| Name | SUNBELT, INC. |
| Role | Petitioner |
| Status | Active |
| Name | Neil Finkler, M.D. |
| Role | Petitioner |
| Status | Active |
| Name | Adventist Health System |
| Role | Petitioner |
| Status | Active |
| Representations | Dinah S. Stein, Gary Magnarini |
| Name | John David Moorehead, M.D. |
| Role | Petitioner |
| Status | Active |
| Name | 6 Radiology, LLC |
| Role | Respondent |
| Status | Active |
| Name | M. Hudkins, PLLC |
| Role | Respondent |
| Status | Active |
| Name | 6R Teleradiology |
| Role | Respondent |
| Status | Active |
| Name | FLORIDA HOSPITAL MEDICAL GROUP, INC. |
| Role | Respondent |
| Status | Active |
| Name | Reed Kelly Smith, M.D., LLC |
| Role | Respondent |
| Status | Active |
| Name | NAYER N. KHOUZAM, M.D., P.A. |
| Role | Respondent |
| Status | Active |
| Name | Donna Ball |
| Role | Respondent |
| Status | Active |
| Name | D BALL NP LLC |
| Role | Respondent |
| Status | Active |
| Name | Kyme Clinton |
| Role | Respondent |
| Status | Active |
| Name | CONSULTANTS CHOICE, P.A. |
| Role | Respondent |
| Status | Active |
| Name | SIMONMED IMAGING FLORIDA LLC |
| Role | Respondent |
| Status | Active |
| Name | Reed K. Smith, M.D. |
| Role | Respondent |
| Status | Active |
| Name | Charlene Atkinson |
| Role | Respondent |
| Status | Active |
| Representations | Jeffrey M. Goodis, Thomas E. Dukes, III, Mark Messerschmidt, Brittany Brown, Richards H. Ford, Ronald S. Gilbert, Daniel R. Hoffman, John C. Willis, IV, David J. Sales, Kevin T. O'Hara, Jonathan T. Gilbert |
| Name | Nayer Khouzam, M.D. |
| Role | Respondent |
| Status | Active |
| Name | Matthew G. Hudkins, M.D. |
| Role | Respondent |
| Status | Active |
| Name | Hon. Vincent S. Chiu |
| Role | Judge/Judicial Officer |
| Status | Active |
Docket Entries
| Docket Date | 2022-07-06 |
| Type | Record |
| Subtype | Returned Records |
| Description | Returned Records ~ NO RECORD E-FILED |
| Docket Date | 2022-07-06 |
| Type | Mandate |
| Subtype | Disp. w/o Mandate |
| Description | Disp. w/o Mandate |
| Docket Date | 2022-06-15 |
| Type | Disposition by Opinion |
| Subtype | Denied |
| Description | Denied - Order by Judge ~ ON THE MERITS |
| Docket Date | 2022-06-15 |
| Type | Disposition by Order |
| Subtype | Denied |
| Description | Order Denying Original Petition |
| Docket Date | 2022-05-05 |
| Type | Record |
| Subtype | Appendix |
| Description | Appendix ~ TO REPLY |
| On Behalf Of | Adventist Health System |
| Docket Date | 2022-05-05 |
| Type | Response |
| Subtype | Reply |
| Description | REPLY |
| On Behalf Of | Adventist Health System |
| Docket Date | 2022-04-27 |
| Type | Notice |
| Subtype | Notice of Appearance |
| Description | Notice of Appearance |
| On Behalf Of | Charlene Atkinson |
| Docket Date | 2022-04-25 |
| Type | Record |
| Subtype | Appendix to Response |
| Description | Appendix to Response |
| On Behalf Of | Charlene Atkinson |
| Docket Date | 2022-04-25 |
| Type | Response |
| Subtype | Response |
| Description | RESPONSE ~ PER 4/5 ORDER |
| On Behalf Of | Charlene Atkinson |
| Docket Date | 2022-04-19 |
| Type | Notice |
| Subtype | Notice of Appearance |
| Description | Notice of Appearance |
| On Behalf Of | Charlene Atkinson |
| Docket Date | 2022-04-14 |
| Type | Order |
| Subtype | Order Dispensing with Oral Argument |
| Description | ORD-DISPENSING ORAL ARGUMENT |
| Docket Date | 2022-04-12 |
| Type | Misc. Events |
| Subtype | Miscellaneous Docket Entry |
| Description | Miscellaneous Docket Entry ~ REQUEST FOR OA |
| On Behalf Of | Adventist Health System |
| Docket Date | 2022-04-05 |
| Type | Order |
| Subtype | Order to File Response |
| Description | ORD-Respondent to Respond ~ RESPONSE W/IN 20 DYS; REPLY W/IN 10 DYS |
| Docket Date | 2022-04-04 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgement Letter 1 ~ AMENDED |
| Docket Date | 2022-04-04 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | FP:Fee Paid Through Portal |
| Docket Date | 2022-04-01 |
| Type | Record |
| Subtype | Appendix to Petition |
| Description | Appendix to Petition |
| Docket Date | 2022-04-01 |
| Type | Petition |
| Subtype | Petition |
| Description | Petition Filed ~ FILED BELOW 4/1/22 |
| On Behalf Of | Adventist Health System |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
