| Entity Name: | AZZAM MUFTAH, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Feb 1999 (26 years ago) |
| Document Number: | P99000015228 |
| FEI/EIN Number | 593570847 |
| Address: | 15205 Cortez Blvd, BROOKSVILLE, FL, 34613, US |
| Mail Address: | 15205 Cortez Blvd, BROOKSVILLE, FL, 34613, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MUTCHNICK MARK C | Agent | 5201 WEST KENNEDY BLVD, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| MUFTAH AZZAM D | Director | 5378 BARCLAY AVE, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-11 | 15205 Cortez Blvd, BROOKSVILLE, FL 34613 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-11 | 15205 Cortez Blvd, BROOKSVILLE, FL 34613 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-23 | MUTCHNICK, MARK CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-23 | 5201 WEST KENNEDY BLVD, SUITE 520, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-02-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-25 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-03-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
