Entity Name: | BARBARA E. SMITH, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Sep 1989 (35 years ago) |
Document Number: | L13768 |
FEI/EIN Number | 650160266 |
Address: | 5369 NW 120 Avenue, Coral Springs, FL, 33076, US |
Mail Address: | 5369 NW 120 Avenue, Coral Springs, FL, 33076, US |
ZIP code: | 33076 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942500145 | 2010-10-22 | 2014-01-10 | 5800 COLONIAL DR, SUITE 104, MARGATE, FL, 330635682, US | 5800 COLONIAL DR, SUITE 104, MARGATE, FL, 330635682, US | |||||||||||||||||||
|
Phone | +1 954-978-8326 |
Fax | 9549788340 |
Authorized person
Name | DR. BARBARA ELAINE SMITH |
Role | PRESIDENT |
Phone | 9549788326 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | 48907 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SMITH, BARBARA E. | Agent | 5369 NW 120 Avenue, Coral Springs, FL, 33076 |
Name | Role | Address |
---|---|---|
SMITH, BARBARA E., M.D | Director | 5369 NW 120 Avenue, Coral Springs, FL, 33076 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
CANCEL ADM DISS/REV | 2006-10-17 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
CANCEL ADM DISS/REV | 2005-10-13 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
REINSTATEMENT | 2001-10-25 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
REINSTATEMENT | 1995-10-20 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State