| Entity Name: | AMERICAN PHYSICIANS FOUNDATION CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Aug 1997 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Jan 2011 (14 years ago) |
| Document Number: | P97000073006 |
| FEI/EIN Number | 650779744 |
| Address: | 2151 Riverside Avenue, JACKSONVILLE, FL, 32204, US |
| Mail Address: | 2151 Riverside Avenue, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922013754 | 2006-07-30 | 2016-01-19 | 2151 RIVERSIDE AVE, JACKSONVILLE, FL, 322044416, US | 2151 RIVERSIDE AVE, JACKSONVILLE, FL, 322044416, US | |||||||||||||||||||||||
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| Phone | +1 904-388-8686 |
| Fax | 9043884445 |
Authorized person
| Name | DR. ABDI ABBASSI |
| Role | PHYSICIAN/OWNER |
| Phone | 9043888686 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269791200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Krishna Ramnanan K | Agent | 2151 RIVERSIDE AVE, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| ABBASSI ABDI | President | 2151 Riverside Ave, JACKSONVILLE, FL, 32204 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000103865 | AMERIVEST LENDING GROUP INC | EXPIRED | 2011-10-24 | 2016-12-31 | No data | 2250 SW 3RD AVE, SUITE 500, MIAMI, FL, 33129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-24 | Krishna, Ramnanan K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-17 | 2151 Riverside Avenue, JACKSONVILLE, FL 32204 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-17 | 2151 Riverside Avenue, JACKSONVILLE, FL 32204 | No data |
| REINSTATEMENT | 2011-01-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
