| Entity Name: | DR. NABIL BARSOUM M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jan 1990 (35 years ago) |
| Document Number: | L43598 |
| FEI/EIN Number | 650161071 |
| Address: | 100 S. MILITARY TRAIL, STE #10, DEERFIELD BEACH, FL, 33442, UN |
| Mail Address: | 100 S. MILITARY TRAIL, STE #10, DEERFIELD BEACH, FL, 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NABIL A. BARSOUM, MD PA 401(K) PLAN | 2023 | 650161071 | 2024-07-23 | DR. NABIL BARSOUM, M.D., P.A. | 6 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | NABIL BARSOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 005 |
| Effective date of plan | 2023-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9544269600 |
| Plan sponsor’s address | 100 SOUTH MILITARY TRAIL, SUITE 10, DEERFIELD BEACH, FL, 33442 |
Signature of
| Role | Plan administrator |
| Date | 2024-06-14 |
| Name of individual signing | DR. NABIL BARSOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BARSOUM NABIL | Agent | 100 S. MILITARY TRAIL, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| BARSOUM, NABIL (DR.) | Director | 100 S. MILITARY TRAIL #10, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| Barsoum Elizabeth | Mrs | 100 S. MILITARY TRAIL, DEERFIELD BEACH, 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000085678 | COMPREHENSIVE MEDICAL CENTER | ACTIVE | 2012-08-30 | 2027-12-31 | No data | 100 S.MILITARY TRAIL, SUITE 10, DEERFIELD BEACH, FL, 33442 |
| G11000062456 | AESTHETIC AND ANTI AGING MEDICAL CENTER | EXPIRED | 2011-06-21 | 2016-12-31 | No data | 100 S.MILITARY TRAIL, SUITE 10, DEERFIELD BEACH, FL, 33442 |
| G11000050143 | AESTHETIC MEDICAL CENTER OF SOUTH FLORIDA | EXPIRED | 2011-05-26 | 2016-12-31 | No data | 100 S.MILITARY TRAIL, SUITE #10, DEERFIELD BEACH, FL, 33442 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
