| Entity Name: | ALBERT TAWIL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Sep 1978 (46 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | 585328 |
| FEI/EIN Number | 59-1846041 |
| Address: | 508 SOUTH HABANA AVE, SUITE 360, TAMPA, FL 33609 |
| Mail Address: | 508 SOUTH HABANA AVE, SUITE 360, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396179024 | 2013-08-29 | 2013-08-29 | 508 S HABANA AVE, STE. 360, TAMPA, FL, 336094181, US | 508 S HABANA AVE, STE. 360, TAMPA, FL, 336094181, US | |||||||||||||||||||
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| Phone | +1 813-876-5548 |
| Fax | 8138742477 |
Authorized person
| Name | DR. ALBERT TAWIL |
| Role | PHYSCIAN |
| Phone | 8138765548 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| License Number | ME0010834 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tawil, Albert, Dr. | Agent | 508 SOUTH HABANA AVE, SUITE 360, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| TAWIL, ALBERT | Director | 508 SOUTH HABANA AVE SUITE 360, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| TAWIL, ALBERT | President | 508 SOUTH HABANA AVE SUITE 360, TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-09 | Tawil, Albert, Dr. | No data |
| REINSTATEMENT | 2020-03-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-18 | 508 SOUTH HABANA AVE, SUITE 360, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-18 | 508 SOUTH HABANA AVE, SUITE 360, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-24 | 508 SOUTH HABANA AVE, SUITE 360, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-03-09 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-03-19 |
| ANNUAL REPORT | 2011-01-18 |
| ANNUAL REPORT | 2010-02-15 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
