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MUTAZ A. TABBAA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MUTAZ A. TABBAA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Sep 1998 (27 years ago)
Document Number: P98000083820
FEI/EIN Number 593521598
Address: 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
Mail Address: 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
ZIP code: 32405
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TABBAA MUTAZ A Director 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
TABBAA KARIM G Agent 129 MARTINGALE LOOP, LYNN HAVEN, FL, 32444

National Provider Identifier

NPI Number:
1205844396

Authorized Person:

Name:
DR. MUTAZ A. TABBAA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8507631477

Form 5500 Series

Employer Identification Number (EIN):
593521598
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-24 TABBAA, KARIM G ESQ -
REGISTERED AGENT ADDRESS CHANGED 2023-04-24 129 MARTINGALE LOOP, LYNN HAVEN, FL 32444 -

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-24
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-03-23
ANNUAL REPORT 2015-04-01

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$71,400
Date Approved:
2020-06-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$71,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$72,004.45
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $71,400

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Date of last update: 01 Jul 2025

Sources: Florida Department of State