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BASSAN & BLOOM, M.D.S., P.L.

Company Details

Entity Name: BASSAN & BLOOM, M.D.S., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Nov 2007 (17 years ago)
Last Event: CONVERSION
Event Date Filed: 29 Nov 2007 (17 years ago)
Document Number: L07000119018
FEI/EIN Number 651067496
Address: 4302 ALTON ROAD, MIAMI BEACH, FL, 33140, US
Mail Address: 4302 ALTON ROAD, MIAMI BEACH, FL, 33140, US
ZIP code: 33140
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598956690 2007-08-05 2015-08-31 4302 ALTON RD, # 850, MIAMI BEACH, FL, 331402891, US 4302 ALTON RD, # 850, MIAMI BEACH, FL, 331402891, US

Contacts

Phone +1 305-532-2999
Fax 3056744803

Authorized person

Name ISAAC BASSAN
Role PRESIDENT
Phone 3055322999

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2023 651067496 2024-09-27 BASSAN & BLOOM, M.D.S., P.L. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2022 651067496 2023-09-11 BASSAN & BLOOM, M.D.S., P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2021 651067496 2022-10-12 BASSAN & BLOOM, M.D.S., P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2020 651067496 2021-09-28 BASSAN & BLOOM, M.D.S., P.L. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2019 651067496 2020-10-06 BASSAN & BLOOM, M.D.S., P.L. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2018 651067496 2019-10-04 BASSAN & BLOOM, M.D.S., P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2017 651067496 2018-10-12 BASSAN & BLOOM, M.D.S., P.L. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2016 651067496 2017-07-13 BASSAN & BLOOM, M.D.S., P.L. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2015 651067496 2016-09-02 BASSAN & BLOOM, M.D.S., P.L. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140
BASSAN & BLOOM, M.D.S., P.L. 401(K) PLAN 2014 651067496 2015-09-25 BASSAN & BLOOM, M.D.S., P.L. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055322999
Plan sponsor’s address 4302 ALTON ROAD, SUITE 850, MIAMI, FL, 33140

Signature of

Role Plan administrator
Date 2015-09-25
Name of individual signing MICHAEL BLOOM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLOOM MICHAEL Agent 4302 ALTON ROAD, MIAMI BEACH, FL, 33140

Managing Member

Name Role Address
BASSAN ISAAC Managing Member 4302 ALTON ROAD, MIAMI BEACH, FL, 33140
BLOOM MICHAEL Managing Member 4302 ALTON ROAD, MIAMI BEACH, FL, 33140

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-15 4302 ALTON ROAD, Suite 850, MIAMI BEACH, FL 33140 No data
CHANGE OF MAILING ADDRESS 2023-04-15 4302 ALTON ROAD, Suite 850, MIAMI BEACH, FL 33140 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-15 4302 ALTON ROAD, Suite 850, MIAMI BEACH, FL 33140 No data
REGISTERED AGENT NAME CHANGED 2013-04-10 BLOOM, MICHAEL No data
CONVERSION 2007-11-29 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000002601. CONVERSION NUMBER 900000069789

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-15
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-04-15
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-04-23

Date of last update: 03 Jan 2025

Sources: Florida Department of State