| Entity Name: | WALID AZIZ, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Mar 2020 (5 years ago) |
| Document Number: | P20000024251 |
| FEI/EIN Number | 85-0568157 |
| Address: | 19046 Bruce B. Downs Blvd, 1439, Tampa, FL 33647 |
| Mail Address: | 19046 Bruce B. Downs Blvd, 1439, Tampa, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851900625 | 2020-07-28 | 2024-07-25 | 3204 BLUFFS DR, LARGO, FL, 337702719, US | 8910 N DALE MABRY HWY SUITE 2, TAMPA, FL, 33614, US | |||||||||||||||
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| Phone | +1 219-671-0447 |
| Phone | +1 727-238-5911 |
Authorized person
| Name | WALID AZIZ |
| Role | OWNER |
| Phone | 7272385911 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AZIZ, WALID T, MD | Agent | 19046 Bruce B. Downs Blvd, 1439, Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| Aziz, Aya E | Vice President | 19046 Bruce B. Downs Blvd, 1439 Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| Aziz, Walid | President | 19046 Bruce B. Downs Blvd, 1439 Tampa, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-18 | 19046 Bruce B. Downs Blvd, 1439, Tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-18 | 19046 Bruce B. Downs Blvd, 1439, Tampa, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-18 | 19046 Bruce B. Downs Blvd, 1439, Tampa, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-18 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-01-25 |
| Domestic Profit | 2020-03-16 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
