| Entity Name: | SUNSHINE WALK-IN CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUNSHINE WALK-IN CLINIC, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 18 Aug 2004 (21 years ago) |
| Date of dissolution: | 23 May 2006 (19 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 23 May 2006 (19 years ago) |
| Document Number: | L04000061222 |
| FEI/EIN Number |
201506230
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5205 BABCOCK STREET NE, SUITE 3, PALM BAY, FL, 32905, US |
| Mail Address: | 5205 BABCOCK STREET NE, SUITE 3, PALM BAY, FL, 32905, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790948941 | 2008-07-08 | 2008-07-08 | 5205 BABCOCK ST NE, SUITE 3, PALM BAY, FL, 329054638, US | 5205 BABCOCK ST NE, SUITE 3, PALM BAY, FL, 329054638, US | |||||||||||||||||||||||||||
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| Phone | +1 321-729-1400 |
| Fax | 3217285700 |
Authorized person
| Name | DR. NAGEH S. BARSOUM |
| Role | PRESIDENT |
| Phone | 3217291400 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264156900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 264156901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARSOUM NAGEH S | Managing Member | 1572 LARAMIE CIRCLE, MELBOURNE, FL, 32940 |
| BARSOUM WARDA K | Managing Member | 1572 LARAMIE CIRCLE, MELBOURNE, FL, 32940 |
| BARSOUM NAGEH M | Agent | 1572 LARAMIE CIR., MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2006-05-23 | - | CONVERSION MEMBER. RESULTING CORPORATION WAS P06000071535. CONVERSION NUMBER 700000057387 |
| REGISTERED AGENT NAME CHANGED | 2005-07-15 | BARSOUM, NAGEH MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-07-15 | 1572 LARAMIE CIR., MELBOURNE, FL 32940 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-01-27 |
| Reg. Agent Change | 2005-07-15 |
| ANNUAL REPORT | 2005-01-11 |
| Florida Limited Liability | 2004-08-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
