| Entity Name: | MULTICARE PHYSICIANS PSC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Feb 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Feb 2016 (9 years ago) |
| Document Number: | P16000011852 |
| FEI/EIN Number | 81-1229883 |
| Address: | 634 Deltona Blvd. Suite A, Deltona, FL, 32725, US |
| Mail Address: | 634 Deltona Blvd. Suite A, Deltona, FL, 32725, US |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316306871 | 2016-02-12 | 2016-02-12 | PO BOX 5668, DELTONA, FL, 327285668, US | 634 DELTONA BLVD, DELTONA, FL, 327258078, US | |||||||||||||||||||
|
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| Phone | +1 386-574-5565 |
| Fax | 3865748567 |
Authorized person
| Name | DR. FAISAL TAWWAB |
| Role | PRESIDENT |
| Phone | 3855745565 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME123545 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAWWAB FAISAL | Agent | 634 Deltona Blvd. Suite A, Deltona, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| TAWWAB FAISAL MD | Manager | 634 DELTONA BLVD, DELTONA, FL, 32725 |
| QUYYUM AHMED ABDUL MD | Manager | 634 DELTONA BLVD, DELTONA, FL, 32725 |
| TAWWAB JUVERIA MD | Manager | 634 DELTONA BLVD, DELTONA, FL, 32725 |
| TAWWAB ANAM MD | Manager | 634 Deltona Blvd, DELTONA, FL, 32725 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000013427 | MULTICARE PHYSICIANS | ACTIVE | 2016-02-05 | 2026-12-31 | No data | 634 DELTONA BLVD, SUITE A, DELTONA, FL, 32728 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-05 | TAWWAB, FAISAL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-10 | 634 Deltona Blvd. Suite A, Deltona, FL 32725 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-10 | 634 Deltona Blvd. Suite A, Deltona, FL 32725 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-10 | 634 Deltona Blvd. Suite A, Deltona, FL 32725 | No data |
| AMENDMENT | 2016-02-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-03-25 |
| Amendment | 2016-02-23 |
| Domestic Profit | 2016-02-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
