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MUTAZ A. TABBAA, M.D., P.A.

Company Details

Entity Name: MUTAZ A. TABBAA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Sep 1998 (26 years ago)
Document Number: P98000083820
FEI/EIN Number 59-3521598
Address: 2559 HUNTCLIFF LANE, PANAMA CITY, FL 32405
Mail Address: 2559 HUNTCLIFF LANE, PANAMA CITY, FL 32405
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205844396 2006-08-04 2007-08-08 2559 HUNTCLIFF LN, PANAMA CITY, FL, 324054902, US 2559 HUNTCLIFF LN, PANAMA CITY, FL, 324054902, US

Contacts

Phone +1 850-763-0333
Fax 8507631477

Authorized person

Name DR. MUTAZ A. TABBAA
Role PRESIDENT
Phone 8507630333

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME48669
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MUTAZ A. TABBAA, M.D., P.A. CASH BALANCE PLAN 2023 593521598 2024-09-26 MUTAZ A. TABBAA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. CASH BALANCE PLAN 2022 593521598 2023-10-02 MUTAZ A. TABBAA, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. PROFIT SHARING PLAN 2022 593521598 2024-02-15 MUTAZ A. TABBAA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. PROFIT SHARING PLAN 2021 593521598 2022-10-17 MUTAZ A. TABBAA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. CASH BALANCE PENSION PLAN 2021 593521598 2022-10-17 MUTAZ A. TABBAA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. CASH BALANCE PENSION PLAN 2020 593521598 2021-07-27 MUTAZ A. TABBAA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. PROFIT SHARING PLAN 2020 593521598 2021-07-27 MUTAZ A. TABBAA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. PROFIT SHARING PLAN 2019 593521598 2020-10-05 MUTAZ A. TABBAA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. CASH BALANCE PENSION PLAN 2019 593521598 2020-10-05 MUTAZ A. TABBAA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405
MUTAZ A. TABBAA, M.D., P.A. PROFIT SHARING PLAN 2018 593521598 2019-07-31 MUTAZ A. TABBAA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8507630333
Plan sponsor’s address 2559 HUNTCLIFF LANE, PANAMA CITY, FL, 32405

Agent

Name Role Address
TABBAA, KARIM G ESQ Agent 129 MARTINGALE LOOP, LYNN HAVEN, FL 32444

Director

Name Role Address
TABBAA, MUTAZ A Director 2559 HUNTCLIFF LANE, PANAMA CITY, FL 32405

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-24 TABBAA, KARIM G ESQ No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-24 129 MARTINGALE LOOP, LYNN HAVEN, FL 32444 No data

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

Date of last update: 01 Feb 2025

Sources: Florida Department of State