| Entity Name: | FUTURE MEDICAL ASSOCIATES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jun 2007 (18 years ago) |
| Date of dissolution: | 30 Apr 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2019 (6 years ago) |
| Document Number: | P07000074281 |
| FEI/EIN Number | 260425446 |
| Address: | 509 EAST 23RD STREET, PANAMA CITY, FL, 32405, US |
| Mail Address: | P O BOX 2098, LYNN HAVEN, FL, 32444 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699974915 | 2007-07-16 | 2017-02-27 | PO BOX 2098, LYNN HAVEN, FL, 324440050, US | 509 E 23RD ST, PANAMA CITY, FL, 324055307, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-215-3001 |
| Fax | 8502153668 |
Authorized person
| Name | DR. ABDEL-AZIM A BAYOUMY |
| Role | PHYSICIAN |
| Phone | 8502153001 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME 99491 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 03055 |
| State | FL |
| Issuer | MEDICAID |
| Number | 279435700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAYOUMY ABDEL-AZIM A | Agent | 111 Florida AVE, LYNN HAVEN, FL, 324441333 |
| Name | Role | Address |
|---|---|---|
| BAYOUMY ABDEL-AZIM A | President | 111 Florida AVE, LYNN HAVEN, FL, 324441333 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-16 | 509 EAST 23RD STREET, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-21 | 111 Florida AVE, LYNN HAVEN, FL 32444-1333 | No data |
| REINSTATEMENT | 2012-05-31 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-31 | 509 EAST 23RD STREET, PANAMA CITY, FL 32405 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-30 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-01-22 |
| REINSTATEMENT | 2012-05-31 |
| Domestic Profit | 2007-06-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
