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EIHAB H. TAWFIK, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: EIHAB H. TAWFIK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Aug 2005 (20 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: P05000115320
FEI/EIN Number 20-3325340
Address: 7394 WEST GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429
Mail Address: 1165 N Stoney Pt, CRYSTAL RIVER, FL, 34429, US
ZIP code: 34429
City: Crystal River
County: Citrus
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TAWFIK EIHAB H Director 7394 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429
Tawfik Eihab HMD Agent 1165 N Stoney Pt, Crystal River, FL, 34429
TAWFIK EIHAB H Manager 7394 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429

Unique Entity ID

CAGE Code:
7V1N9
UEI Expiration Date:
2018-05-02

Business Information

Division Name:
EIHAB H. TAWFIK, M.D., P.A.
Division Number:
EIHAB H. T
Activation Date:
2017-05-04
Initial Registration Date:
2017-05-01

Commercial and government entity program

CAGE number:
7V1N9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2023-06-25
CAGE Expiration:
2022-05-04

Contact Information

POC:
SHANON ROULEAU

National Provider Identifier

NPI Number:
1184810384

Authorized Person:

Name:
DR. EIHAB H TAWFIK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3525644222

Form 5500 Series

Employer Identification Number (EIN):
203325340
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000018577 CITRUS DIABETES TREATMENT CENTER EXPIRED 2017-02-20 2022-12-31 - 7394 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429
G12000117300 CHRIST MEDICAL CENTER EXPIRED 2012-12-06 2017-12-31 - 7562 WEST GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429
G10000039360 HERNANDO PHYSICIANS WEIGHT LOSS EXPIRED 2010-05-04 2015-12-31 - 700 SE 5TH TERRACE, CRYSTAL RIVER, FL, 34429
G10000039361 HERNANDO PRIMARY CARE CLINIC EXPIRED 2010-05-04 2015-12-31 - 700 SE 5TH TERRACE STE 2, CRYSTAL RIVER, FL, 34429
G10000039369 CITRUS PHYSICIANS WEIGHT LOSS EXPIRED 2010-05-04 2015-12-31 - 700 SE 5TH TERRACE STE 2, CRYSTAL RIVER, FL, 34429
G10000039359 HERNANDO DIABETES TREATMENT CENTER EXPIRED 2010-05-04 2015-12-31 - 700 SE 5TH TERRACE STE 2, CRYSTAL RIVER, FL, 34429
G08315900302 CITRUS PHYSICIANS WEIGH LOSS EXPIRED 2008-11-10 2013-12-31 - SE 5TH TERRACE, SUITE 2, CRYSTAL RIVER, FL, 34429
G08310900305 CITRUS DIABETES TREATMENT CENTER EXPIRED 2008-11-05 2013-12-31 - 700 SE 5TH TERRACE, SUITE #2, CRYSTAL RIVER, FL, 34429
G08304900170 CITRUS DIABETES CENTER EXPIRED 2008-10-30 2013-12-31 - 700 SE 5TH TERRRACE, SUITE 2, CRYSTAL RIVER, FL, 34429

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2019-03-19 1165 N Stoney Pt, Crystal River, FL 34429 -
REINSTATEMENT 2019-03-19 - -
CHANGE OF MAILING ADDRESS 2019-03-19 7394 WEST GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL 34429 -
REGISTERED AGENT NAME CHANGED 2019-03-19 Tawfik, Eihab H, MD -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2016-11-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REINSTATEMENT 2011-10-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J09000128719 TERMINATED 1000000088846 2237 729 2008-08-21 2029-01-22 $ 1,114.10 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000365774 TERMINATED 1000000088846 2237 729 2008-08-21 2029-01-28 $ 1,114.10 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000498534 TERMINATED 1000000088846 2237 729 2008-08-21 2029-02-04 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000573245 TERMINATED 1000000088846 2237 729 2008-08-21 2029-02-11 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000649755 TERMINATED 1000000088846 2237 729 2008-08-21 2029-02-18 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000725928 TERMINATED 1000000088846 2237 729 2008-08-21 2014-02-25 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000784347 TERMINATED 1000000088846 2237 729 2008-08-21 2029-03-05 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000844265 TERMINATED 1000000088846 2237 729 2008-08-21 2029-03-11 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000901735 TERMINATED 1000000088846 2237 729 2008-08-21 2029-03-18 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686
J09000968775 TERMINATED 1000000088846 2237 729 2008-08-21 2029-03-25 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1415 S 14TH ST STE 103, LEESBURG FL347486686

Documents

Name Date
REINSTATEMENT 2019-03-19
ANNUAL REPORT 2017-04-07
REINSTATEMENT 2016-11-07
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-04-21
ANNUAL REPORT 2013-05-09
ANNUAL REPORT 2012-01-11
REINSTATEMENT 2011-10-24
ANNUAL REPORT 2010-04-30
ANNUAL REPORT 2009-02-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State