| Entity Name: | MEDICAL ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Aug 1998 (27 years ago) |
| Date of dissolution: | 25 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2020 (5 years ago) |
| Document Number: | P98000069326 |
| FEI/EIN Number | 593526972 |
| Address: | 11142 coniston way, Windermere, FL, 34786, US |
| Mail Address: | P.O.BOX 3230, windermere, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811137672 | 2009-03-05 | 2014-11-17 | 200 N JOHN YOUNG PKWY, STE 101, KISSIMMEE, FL, 347416601, US | 200 N JOHN YOUNG PKWY, STE 101, KISSIMMEE, FL, 347416601, US | |||||||||||||||||||||||
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| Phone | +1 407-944-1800 |
Authorized person
| Name | DR. IRFAN SIDDIQUE |
| Role | PHYSICIAN |
| Phone | 4079441800 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME70992 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 250988100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIDDIQUE IRFAN D | Agent | 11142 coniston way, Windermere, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUE IRFAN | President | 11142 coniston way, Windermere, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUE IRFAN | Secretary | 11142 coniston way, Windermere, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUE IRFAN | Treasurer | 11142 coniston way, Windermere, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUE IRFAN | Director | 11142 coniston way, Windermere, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-19 | 11142 coniston way, Windermere, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-19 | 11142 coniston way, Windermere, FL 34786 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-19 | 11142 coniston way, Windermere, FL 34786 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-02-26 | SIDDIQUE, IRFAN DR | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-25 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-02-21 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-02-05 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
