| Entity Name: | DR.ZAIN BARNOUTI LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Nov 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Mar 2021 (4 years ago) |
| Document Number: | L15000196607 |
| FEI/EIN Number | 47-5684528 |
| Address: | 3662 Highland Glen Way West, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 3662 Highland Glen Way West, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265807127 | 2015-12-03 | 2015-12-03 | 9310 OLD KINGS RD S, SUITE 1201, JACKSONVILLE, FL, 322576152, US | 9310 OLD KINGS RD S, SUITE 1201, JACKSONVILLE, FL, 322576152, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-636-9197 |
Authorized person
| Name | DR. ZAIN BARNOUTI |
| Role | OWNER |
| Phone | 9046369197 |
Taxonomy
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| License Number | PO 3735 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0000X - Sports Medicine Podiatrist |
| License Number | PO 3735 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO 3735 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARNOUTI ZAIN | Agent | 3662 Highland Glen Way West, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| Barnouti Zain | Auth | 3662 Highland Glen Way West, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| Adamo Noor | Manager | 3662 Highland Glen Way West, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-20 | BARNOUTI, ZAIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-20 | 3662 Highland Glen Way West, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-22 | 3662 Highland Glen Way West, JACKSONVILLE, FL 32224 | No data |
| REINSTATEMENT | 2021-03-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-10 | 3662 Highland Glen Way West, JACKSONVILLE, FL 32224 | No data |
| REINSTATEMENT | 2017-01-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-29 |
| REINSTATEMENT | 2021-03-22 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-22 |
| REINSTATEMENT | 2017-01-07 |
| Florida Limited Liability | 2015-11-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
