| Entity Name: | JOHANNE Y. COMPAS-BARIL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 May 2010 (15 years ago) |
| Document Number: | P10000045704 |
| FEI/EIN Number | 272748906 |
| Address: | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL, 33029 |
| Mail Address: | P.O. BOX 260424, PEMBROKE PINES, FL, 33026 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649581729 | 2010-06-23 | 2010-09-22 | PO BOX 260424, PEMBROKE PINES, FL, 330267424, US | 8910 MIRAMAR PKWY, SUITE 110, MIRAMAR, FL, 330254100, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-239-6109 |
| Fax | 8662835199 |
Authorized person
| Name | DR. JOHANNE Y COMPAS-BARIL |
| Role | MEDICAL DIRECTOR |
| Phone | 9542396109 |
Taxonomy
| Taxonomy Code | 207VX0000X - Obstetrics Physician |
| License Number | ME98081 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC BS OF FLORIDA |
| Number | 71366 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000524100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARIL JEAN-DANIEL | Agent | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| COMPAS-BARIL JOHANNE Y | President | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| COMPAS-BARIL JOHANNE Y | Director | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-26 | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL 33029 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-22 | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2010-06-17 | 17874 N.W. 2ND STREET, PEMBROKE PINES, FL 33029 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
