| Entity Name: | LIGHTHOUSE POINT OB/GYN, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
LIGHTHOUSE POINT OB/GYN, PLLC 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: | 11 Jun 2009 (16 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L09000057323 |
| FEI/EIN Number |
27-1910480
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 601 EAST SAMPLE ROAD, 103, DEERFIELD BEACH, FL 33064 |
| Mail Address: | 2100 EAST SAMPLE ROAD, 201, LIGHTHOUSE POINT, FL 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780906339 | 2010-02-24 | 2010-03-04 | 601 E SAMPLE RD, DEERFIELD BEACH, FL, 330644443, US | 601 E SAMPLE RD, SUITE 103, POMPANO BEACH, FL, 330644443, US | |||||||||||||||||||||||||
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| Phone | +1 954-781-0180 |
| Fax | 9547813230 |
Authorized person
| Name | ADIB A CHIDIAC |
| Role | M.D. |
| Phone | 9547810180 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME43336 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370810100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHIDIAC, ADIB A | Agent | 2100 EAST SAMPLE ROAD, 201, LIGHTHOUSE POINT, FL 33064 |
| CHIDIAC, ADIB A | Managing Member | 2100, EAST SAMPLE ROAD LIGHTHOUSE POINT, FL 33064 |
| GARULLI-CHIDIAC, RITA | Secretary | 2100 EAST SAMPLE ROAD, LIGHTHOUSE POINT, FL 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-16 | 601 EAST SAMPLE ROAD, 103, DEERFIELD BEACH, FL 33064 | - |
| CHANGE OF MAILING ADDRESS | 2010-02-16 | 601 EAST SAMPLE ROAD, 103, DEERFIELD BEACH, FL 33064 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-16 | 2100 EAST SAMPLE ROAD, 201, LIGHTHOUSE POINT, FL 33064 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-07 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-04-21 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-02-16 |
| Florida Limited Liability | 2009-06-11 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
