| Entity Name: | A.H. BARHOUSH M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Nov 1975 (49 years ago) |
| Document Number: | 491620 |
| FEI/EIN Number | 59-1644645 |
| Address: | A H BARHOUSH M D P A, 3800 North Ocean Drive,, 451, BELLE GLADE, FL 33404 |
| Mail Address: | A H BARHOUSH M D P A, 3800 North Ocean Drive, Unit 451, BELLE GLADE, FL 33430 |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700927795 | 2007-02-11 | 2014-12-02 | 232 S MAIN ST, BELLE GLADE, FL, 334303426, US | 232 S MAIN ST, BELLE GLADE, FL, 334303426, US | |||||||||||||||||||||||||
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| Phone | +1 561-996-9573 |
| Fax | 5619969620 |
Authorized person
| Name | DR. AHMED HUSEIN BARHOUSH |
| Role | PRESIDENT |
| Phone | 5619969573 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME21607 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276843700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| A.H. Barhoush MD PA | Agent | 3800 North Ocean Drive, 451, WEST PALM BEACH, FL 33404 |
| Name | Role | Address |
|---|---|---|
| Barhoush, Samar | President | 3800 North Ocean Drive, Unit 451, SAMAR BARHOUSH Rivera Beach, FL 33404 |
| Name | Role | Address |
|---|---|---|
| BARHOUSH, SAMAR H, Dr. | Vice President | 3800 North Ocean Drive, Unit 451 Singer Island, FL 33404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-14 | A H BARHOUSH M D P A, 3800 North Ocean Drive,, 451, BELLE GLADE, FL 33404 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | A H BARHOUSH M D P A, 3800 North Ocean Drive,, 451, BELLE GLADE, FL 33404 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-01 | A.H. Barhoush MD PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 3800 North Ocean Drive, 451, WEST PALM BEACH, FL 33404 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-03-02 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
