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  5. DOCTOR FOR ADULTS, INC.

DOCTOR FOR ADULTS, INC.

Company Details

Entity Name: DOCTOR FOR ADULTS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 Oct 2005 (19 years ago)
Document Number: P05000136153
FEI/EIN Number 71-0989707
Address: 505 WEST OAK ST, SUITE 202, KISSIMMEE, FL 34741
Mail Address: 505 WEST OAK ST, SUITE 202, KISSIMMEE, FL 34741
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477525319 2006-02-05 2008-04-28 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 347414986, US 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 347414986, US

Contacts
Phone +1 407-846-6331
Fax 4078460137

Authorized person
Name DR. TAHSINA Y ATIQUZZAMAN
Role OWNER/PROVIDER
Phone 4078466331

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME93396
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 274425200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOCTOR FOR ADULTS INC 401(K) PLAN 2023 710989707 2024-08-09 DOCTOR FOR ADULTS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2024-08-09
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2022 710989707 2023-07-18 DOCTOR FOR ADULTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2021 710989707 2022-08-15 DOCTOR FOR ADULTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2020 710989707 2021-08-25 DOCTOR FOR ADULTS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2021-08-25
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2019 710989707 2020-07-11 DOCTOR FOR ADULTS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2020-07-11
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2018 710989707 2020-05-04 DOCTOR FOR ADULTS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2017 710989707 2018-07-10 DOCTOR FOR ADULTS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS INC 401(K) PLAN 2016 710989707 2017-08-25 DOCTOR FOR ADULTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4076471717
Plan sponsor’s address 505 W. OAK STREET, SUITE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS, INC. 401(K) PLAN 2015 710989707 2016-06-27 DOCTOR FOR ADULTS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST. STE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature
DOCTOR FOR ADULTS, INC. 401(K) PLAN 2014 710989707 2015-09-16 DOCTOR FOR ADULTS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078466331
Plan sponsor’s address 505 W OAK ST. STE 202, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing TAHSINA ATIQUZZAMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ATIQUZZAMAN, TAHSINA Y Agent 5418 OSPREY ISLE LN, ORLANDO, FL 32819

President

Name Role Address
ATIQUZZAMAN, TAHSINA Y President 5418 OSPREY ISLE LN, ORLANDO, FL 32819

Vice President

Name Role Address
ATIQUZZAMAN, BASHER M Vice President 5418 OSPREY ISLE LN, ORLANDO, FL 32819

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2011-04-10 5418 OSPREY ISLE LN, ORLANDO, FL 32819 No data
CHANGE OF PRINCIPAL ADDRESS 2006-06-20 505 WEST OAK ST, SUITE 202, KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2006-06-20 505 WEST OAK ST, SUITE 202, KISSIMMEE, FL 34741 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-04-19

Related by officers

ATIQUZZAMAN, TAHSINA Y

INTERNATIONAL HEALTH EDUCATION NETWORK LLC

ATIQUZZAMAN, BASHER M

BANGLADESH INSTITUTE OF NORTH AMERICA INC. DIGESTIVE AND LIVER DISEASE INSTITUTE OF FLORIDA, LLC. PLANETARY HEALTH ACADEMIA CORPORATION INTERNATIONAL HEALTH EDUCATION NETWORK LLC NORTH AMERICA CMC ALUMNI INC. BANGLADESH MEDICAL ASSOCIATION OF NORTH AMERICA INC.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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