| Entity Name: | SYED TARIQ MUMTAZ, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Aug 1998 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Feb 2004 (21 years ago) |
| Document Number: | P98000070071 |
| FEI/EIN Number | 59-3525369 |
| Address: | 724 W. VINE STREET, KISSIMMEE, FL 34741 |
| Mail Address: | 724 W. VINE STREET, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336311976 | 2008-03-24 | 2009-01-08 | 403 W OAK ST, KISSIMMEE, FL, 347414931, US | 403 W OAK ST, KISSIMMEE, FL, 347414931, US | |||||||||||||||||||
|
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| Phone | +1 407-944-4450 |
| Fax | 4079441858 |
Authorized person
| Name | SYED TARIQ MUMTAZ |
| Role | MD |
| Phone | 4079444450 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME70936 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUMTAZ, SYED T | Agent | 724 W. VINE STREET, KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| MUMTAZ, SYED T | Director | 724 W. VINE STREET, KISSIMMEE, FL 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08157900304 | MUMTAZ MEDICAL ASSOCIATES | EXPIRED | 2008-06-05 | 2013-12-31 | No data | 423 W. VINE STREET, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-26 | 724 W. VINE STREET, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-26 | 724 W. VINE STREET, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-26 | 724 W. VINE STREET, KISSIMMEE, FL 34741 | No data |
| REINSTATEMENT | 2004-02-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
