| Entity Name: | NIDAL MASRI, M.D., P,A, |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jul 2002 (23 years ago) |
| Document Number: | P02000080390 |
| FEI/EIN Number | 270023522 |
| Address: | 1100 SW 57TH AVE., 100, MIAMI, FL, 33144, US |
| Mail Address: | 1100 SW 57TH AVE., 100, MIAMI, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326282120 | 2009-04-23 | 2009-04-23 | 1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL, 331445129, US | 1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL, 331445129, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-262-6484 |
Authorized person
| Name | DR. NICK MASRI |
| Role | PRESIDENT |
| Phone | 3052626484 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | ME72054 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SINGER MICHAEL S | Agent | 3825 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| MASRI NIDAL M | President | 1100 SW 57TH AVE SUITE 100, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| MASRI NIDAL M | Director | 1100 SW 57TH AVE SUITE 100, MIAMI, FL, 33144 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000055040 | NICK MASRI MD | EXPIRED | 2017-05-17 | 2022-12-31 | No data | 1100 SW 57TH AVENUE, STE 100, MIAMI, FL, 33144 |
| G13000114935 | NICK MASRI, M.D. | EXPIRED | 2013-11-22 | 2018-12-31 | No data | 1060 KANE CONCOURSE, BAY HARBOUR ISLAND, FL, 33154 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2002-08-01 | NIDAL MASRI, M.D., P,A, | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
