| Entity Name: | WAEL Z. TAMIM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Apr 2002 (23 years ago) |
| Document Number: | P02000040337 |
| FEI/EIN Number | 01-0732587 |
| Mail Address: | 455 SW 5TH AVE, FT LAUDERDALE, FL 33315 |
| Address: | 1625 SE 3RD AVE, STE 723, FT LAUDERDALE, FL 33316 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275757205 | 2007-04-12 | 2009-10-14 | PO BOX 350483, FT LAUDERDALE, FL, 333350483, US | 1625 SE 3RD AVE, SUITE 723, FORT LAUDERDALE, FL, 333162521, US | |||||||||||||||||||
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| Phone | +1 954-616-1916 |
| Fax | 9545250808 |
Authorized person
| Name | WAEL Z TAMIM |
| Role | PRESIDENT |
| Phone | 9546161916 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME83922 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BALTAGI, LABIB | Agent | 709 NE 125TH ST, MIAMI, FL 33161 |
| Name | Role | Address |
|---|---|---|
| TAMIM, WAEL Z | President | 455 SW 5TH AVE, FT LAUDERDALE, FL 33315 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-01 | 1625 SE 3RD AVE, STE 723, FT LAUDERDALE, FL 33316 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-07 | 709 NE 125TH ST, MIAMI, FL 33161 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-04 | 1625 SE 3RD AVE, STE 723, FT LAUDERDALE, FL 33316 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-03-14 | BALTAGI, LABIB | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
