| Entity Name: | MATTHEW TAUB, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Feb 2003 (22 years ago) |
| Document Number: | P03000013640 |
| FEI/EIN Number | 020673693 |
| Address: | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025, US |
| Mail Address: | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025, US |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992007496 | 2010-12-03 | 2024-10-24 | 12309 PEMBROKE RD, PEMBROKE PINES, FL, 330251723, US | 12309 PEMBROKE RD, PEMBROKE PINES, FL, 330251723, US | |||||||||||||||||||
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| Phone | +1 954-432-6595 |
| Fax | 9544326266 |
Authorized person
| Name | MRS. INGRID SANTOS |
| Role | MEDICAL ADMINISTRATOR |
| Phone | 9544326595 |
Taxonomy
| Taxonomy Code | 261QX0200X - Oncology Clinic/Center |
| License Number | ME82721 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW TAUB, MD, PA 401(K) PLAN | 2023 | 020673693 | 2024-02-14 | MATTHEW TAUB, MD, PA | 21 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-02-14 |
| Name of individual signing | MATTHEW TAUB |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9544326595 |
| Plan sponsor’s address | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-02 |
| Name of individual signing | MATTHEW TAUB |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9544326595 |
| Plan sponsor’s address | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-22 |
| Name of individual signing | MATTHEW TAUB |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542901734 |
| Plan sponsor’s address | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| TAUB MATTHEW | Agent | 12309 PEMBROKE RD, PEMBROKE PINES, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| TAUB MATTHEW | President | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000166519 | EVERGLADES ONCOLOGY HEMATOLOGY | ACTIVE | 2021-12-15 | 2026-12-31 | No data | MATTHEW TAUB MD PA, 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| G21000166511 | OPTIMUM ONCOLOGY HEMATOLOGY ASSOCIATES | ACTIVE | 2021-12-15 | 2026-12-31 | No data | OPTIMUM ONCOLOGY HEMATOLOGY ASSOCIATES, 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| G17000119559 | EVERGLADES ONCOLOGY HEMATOLOGY | ACTIVE | 2017-10-30 | 2027-12-31 | No data | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| G10000075056 | OPTIMUM ONCOLOGY HEMATOLOGY ASSOCIATES | EXPIRED | 2010-08-16 | 2015-12-31 | No data | 601 NORTH FLAMINGO ROAD, SUITE 403-B, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-09 | 12309 PEMBROKE RD, PEMBROKE PINES, FL 33025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-10-06 | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2011-10-06 | 12309 PEMBROKE ROAD, PEMBROKE PINES, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
