| Entity Name: | FLORIDA WOUND CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Feb 2009 (16 years ago) |
| Document Number: | P09000010002 |
| FEI/EIN Number | 264265657 |
| Address: | 10335 CROSS CREEK BLVD H20, TAMPA, FL, 33647, US |
| Mail Address: | 10335 CROSS CREEK BLVD H20, TAMPA, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053158352 | 2024-07-12 | 2024-07-15 | 10335 CROSS CREEK BLVD STE 20, TAMPA, FL, 336472764, US | 6719 GALL BLVD STE 203, ZEPHYRHILLS, FL, 335422569, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-388-6838 |
| Fax | 8133889526 |
Authorized person
| Name | SARA LARSON HUSSAIN |
| Role | ADMINISTRATOR |
| Phone | 8133886838 |
Taxonomy
| Taxonomy Code | 2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA WOUND CARE INC 401 K PROFIT SHARING PLAN TRUST | 2017 | 264265657 | 2018-07-06 | FLORIDA WOUND CARE INC | 4 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2018-07-06 |
| Name of individual signing | SARA LARSON-HUSSAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8133886838 |
| Plan sponsor’s address | 10335 CROSS CREEK BLVD STE 20, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-28 |
| Name of individual signing | SARA LARSON HUSSAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8133886838 |
| Plan sponsor’s address | 10335 CROSS CREEK BLVD STE 20, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2016-08-02 |
| Name of individual signing | SARA HUSSAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8133886838 |
| Plan sponsor’s address | 10335 CROSS CREEK BLVD STE 20, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2015-05-20 |
| Name of individual signing | SARA LARSON HUSSAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HUSSAIN SAYYED TMD | Agent | 10335 CROSS CREEK BLVD H20, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| HUSSAIN SAYYED TMD | President | 10335 CROSS CREEK BLVD SUITE 20, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| LARSON-HUSSAIN SARA E | Vice President | 10335 CROSS CREEK BLVD SUITE 20, TAMPA, FL, 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000033387 | FLORIDA WOUND CARE AND MOBILE PAIN MANAGEMENT | EXPIRED | 2014-04-03 | 2019-12-31 | No data | 10335 CROSS CREEK BLVD., SUITE 20, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-02 | 10335 CROSS CREEK BLVD H20, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-02 | 10335 CROSS CREEK BLVD H20, TAMPA, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-02 | 10335 CROSS CREEK BLVD H20, TAMPA, FL 33647 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-02 | HUSSAIN, SAYYED T, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-12 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-07-19 |
| ANNUAL REPORT | 2020-08-05 |
| ANNUAL REPORT | 2019-06-18 |
| ANNUAL REPORT | 2018-05-15 |
| ANNUAL REPORT | 2017-07-01 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
