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MOUM & NIELSEN, P.A. - Florida Company Profile

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Company Details

Entity Name: MOUM & NIELSEN, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MOUM & NIELSEN, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 16 Sep 1969 (56 years ago)
Date of dissolution: 15 Sep 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 15 Sep 2016 (9 years ago)
Document Number: 601402
FEI/EIN Number 591276754

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 445 SOUTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
Mail Address: 445 SOUTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
ZIP code: 33432
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOUM ERIC President 445 S. FEDERAL HIGHWAY, BOCA RATON, FL, 33432
MOUM ERIC Treasurer 445 S. FEDERAL HIGHWAY, BOCA RATON, FL, 33432
NIELSEN TIMOTHY A Vice President 445 S. FEDERAL HWY, BOCA RATON, FL, 33432
MOUM ERIC Agent 445 S FEDERAL HWY, BOCA RATON, FL, 33432

National Provider Identifier

NPI Number:
1295784320

Authorized Person:

Name:
ERIC EE MOUM
Role:
PHYSICIAN PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5613679338
Fax:
5617375221

Form 5500 Series

Employer Identification Number (EIN):
591276754
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
32
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-09-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
NAME CHANGE AMENDMENT 2005-02-08 MOUM & NIELSEN, P.A. -
REGISTERED AGENT NAME CHANGED 2004-02-04 MOUM, ERIC -
CHANGE OF PRINCIPAL ADDRESS 2004-02-04 445 SOUTH FEDERAL HIGHWAY, BOCA RATON, FL 33432 -
NAME CHANGE AMENDMENT 2000-09-18 FOLSOM, MOUM & NIELSEN, P.A. -
CHANGE OF MAILING ADDRESS 2000-03-24 445 SOUTH FEDERAL HIGHWAY, BOCA RATON, FL 33432 -
NAME CHANGE AMENDMENT 1993-12-21 NIELSEN, BARRETT, FOLSOM & MOUM, P.A. -
NAME CHANGE AMENDMENT 1991-07-05 NIELSEN, BARRETT & FOLSOM, P.A. -
NAME CHANGE AMENDMENT 1986-04-08 HEARD, NIELSEN, BARRETT & FOLSOM, P.A. -

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-09-15
ANNUAL REPORT 2013-04-23
ANNUAL REPORT 2012-01-10
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-03-18
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-04-02
ANNUAL REPORT 2007-04-10
ANNUAL REPORT 2006-04-03
Name Change 2005-02-08

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Date of last update: 01 Jul 2025

Sources: Florida Department of State