Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Broward
    4. ›
  4. 33067
    5. ›
  5. CORAL MEDICAL CARE, LLC

CORAL MEDICAL CARE, LLC

Company Details

Entity Name: CORAL MEDICAL CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 13 Jan 2010 (15 years ago)
Date of dissolution: 25 Jan 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Jan 2023 (2 years ago)
Document Number: L10000004398
FEI/EIN Number 271660499
Address: 5501 N. UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067
Mail Address: 5501 N. UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447552088 2010-12-02 2010-12-13 5501 N UNIVERSITY DR, SUITE 104, CORAL SPRINGS, FL, 330674645, US 5501 N UNIVERSITY DR, SUITE 104, CORAL SPRINGS, FL, 330674645, US

Contacts
Phone +1 954-757-0670

Authorized person
Name TABASSUM HUSSAIN
Role MANAGING MEMBER
Phone 9547570670

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME102110
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORAL MEDICAL CARE 401(K) PLAN 2023 271660499 2024-05-09 CORAL MEDICAL CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547570670
Plan sponsor’s address 5501 N UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
CORAL MEDICAL CARE 401(K) PLAN 2022 271660499 2023-05-27 CORAL MEDICAL CARE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547570670
Plan sponsor’s address 5501 N UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
CORAL MEDICAL CARE 401(K) PLAN 2021 271660499 2022-06-02 CORAL MEDICAL CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547570670
Plan sponsor’s address 5501 N UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
CORAL MEDICAL CARE 401(K) PLAN 2020 271660499 2021-07-03 CORAL MEDICAL CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547570670
Plan sponsor’s address 5501 N UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-07-03
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
CORAL MEDICAL CARE 401(K) PLAN 2019 271660499 2020-05-20 CORAL MEDICAL CARE, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547570670
Plan sponsor’s address 5501 N UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-19
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
CORAL MEDICAL CARE 401(K) PLAN 2019 271660499 2020-05-18 CORAL MEDICAL CARE, LLC 0
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621900
Sponsor’s telephone number 9547570670
Plan sponsor’s address 5501 N UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-18
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HUSSAIN TABASSUM Agent 5501 N. UNIVERSITY DRIVE, CORAL SPRINGS, FL, 33067

Managing Member

Name Role Address
HUSSAIN TABASSUM Managing Member 5501 N. UNIVERSITY DR., SUITE 104, CORAL SPRINGS, FL, 33067

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000020213 CORAL MEDICAL CARE EXPIRED 2010-03-03 2015-12-31 No data 5501 N. UNIVERSITY DRIVE, SUITE 104, CORAL SPRINGS, FL, 33067

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-01-25 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-01-25
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-02-23
ANNUAL REPORT 2019-01-18
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-02-18
ANNUAL REPORT 2016-01-17
ANNUAL REPORT 2015-01-18
ANNUAL REPORT 2014-01-10

Related by officers

HUSSAIN TABASSUM

TABASSUM HUSSAIN, M.D., P.A.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated