| Entity Name: | FIRST LOCUMS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Mar 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Apr 2016 (9 years ago) |
| Document Number: | P16000020351 |
| FEI/EIN Number | 81-1705725 |
| Address: | 3248 CORTONA DR., MELBOURNE, FL, 32940, US |
| Mail Address: | 3248 CORTONA DR., MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013467554 | 2016-10-07 | 2016-12-07 | 3248 CORTONA DR, MELBOURNE, FL, 329408613, US | 3248 CORTONA DR, MELBOURNE, FL, 329408613, US | |||||||||||||||||||||||||
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| Phone | +1 321-735-8301 |
| Fax | 3217358301 |
Authorized person
| Name | DR. HASSAN A ELHEWAN |
| Role | PRESIDENT/ OWNER |
| Phone | 3217358301 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019199600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ELHEWAN HASSAN | Agent | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| ELHEWAN HASSAN | President | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| ELHEWAN HASSAN | Vice President | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| ELHEWAN AMY | Vice President | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| ELHEWAN HASSAN | Secretary | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| ELHEWAN HASSAN | Treasurer | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| ELHEWAN HASSAN | Director | 3248 CORTONA DR., MELBOURNE, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000122841 | BREVARD HOSPITALISTS | ACTIVE | 2017-11-07 | 2027-12-31 | No data | 3248 CORTONA DRIVE, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2016-04-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-28 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-08-09 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-03-22 |
| Amendment | 2016-04-26 |
| Domestic Profit | 2016-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
