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  5. MONTSERRAT BUIA, M.D., P.A.

MONTSERRAT BUIA, M.D., P.A.

Company Details

Entity Name: MONTSERRAT BUIA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 May 1994 (31 years ago)
Date of dissolution: 04 Mar 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 04 Mar 2022 (3 years ago)
Document Number: P94000038657
FEI/EIN Number 650489365
Address: 9524 SW 69 CT, MIAMI, FL, 33156, US
Mail Address: 9524 SW 69 CT, MIAMI, FL, 33156, US
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063787042 2012-03-09 2012-03-09 11801 SW 90TH ST, 105, MIAMI, FL, 331862182, US 11801 SW 90TH ST, 105, MIAMI, FL, 331862182, US

Contacts
Phone +1 305-279-7020
Fax 3055988080

Authorized person
Name DR. MONTSERRAT BUIA
Role M.D.
Phone 3052797020

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME0049683
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 262173800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTSERRAT BUIA, M.D., P.A. DEFINED BENEFIT PLAN 2019 650489365 2020-02-13 MONTSERRAT BUIA, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 S.W. 69TH COURT, PINECREST, FL, 33156
MONTSERRAT BUIA, M.D., P.A. PROFIT SHARING PLAN 2019 650489365 2020-02-05 MONTSERRAT BUIA, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 SW 69TH COURT, PINECREST, FL, 331563016
MONTSERRAT BUIA, M.D., P.A. PROFIT SHARING PLAN 2018 650489365 2019-04-05 MONTSERRAT BUIA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 SW 69TH COURT, PINECREST, FL, 331563016
MONTSERRAT BUIA, M.D., P.A. DEFINED BENEFIT PLAN 2018 650489365 2019-05-06 MONTSERRAT BUIA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 S.W. 69TH COURT, PINECREST, FL, 33156
MONTSERRAT BUIA, M.D., P.A. DEFINED BENEFIT PLAN 2017 650489365 2018-07-05 MONTSERRAT BUIA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 S.W. 69TH COURT, PINECREST, FL, 33156

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing MONTSERRAT BUIA, M.D.
Valid signature Filed with authorized/valid electronic signature
MONTSERRAT BUIA, M.D., P.A. PROFIT SHARING PLAN 2017 650489365 2018-02-14 MONTSERRAT BUIA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 SW 69TH COURT, PINECREST, FL, 331563016

Signature of
Role Plan administrator
Date 2018-02-14
Name of individual signing MONTSERRAT BUIA, M.D.
Valid signature Filed with authorized/valid electronic signature
MONTSERRAT BUIA, M.D., P.A. PROFIT SHARING PLAN 2016 650489365 2017-02-27 MONTSERRAT BUIA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 SW 69TH COURT, PINECREST, FL, 331563016

Signature of
Role Plan administrator
Date 2017-02-27
Name of individual signing MONTSERRAT BUIA, M.D.
Valid signature Filed with authorized/valid electronic signature
MONTSERRAT BUIA, M.D., P.A. DEFINED BENEFIT PLAN 2016 650489365 2017-07-18 MONTSERRAT BUIA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 S.W. 69TH COURT, PINECREST, FL, 33156

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing MONTSERRAT BUIA, M.D.
Valid signature Filed with authorized/valid electronic signature
MONTSERRAT BUIA, M.D., P.A. PROFIT SHARING PLAN 2015 650489365 2016-06-04 MONTSERRAT BUIA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 SW 69TH COURT, PINECREST, FL, 331563016

Signature of
Role Plan administrator
Date 2016-06-04
Name of individual signing MONTSERRAT BUIA, M.D.
Valid signature Filed with authorized/valid electronic signature
MONTSERRAT BUIA, M. D. , P. A. DEFINED BENEFIT PLAN 2015 650489365 2016-06-04 MONTSERRAT BUIA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3052797020
Plan sponsor’s address 9524 S.W. 69TH COURT, PINECREST, FL, 33156

Signature of
Role Plan administrator
Date 2016-06-04
Name of individual signing MONTSERRAT BUIA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BUIA MONTSERRAT Agent 9524 SW 69 Ct, MIAMI, FL, 33156

Manager

Name Role Address
BUIA, MONTSERRAT Manager 9524 SW 69TH CT., MIAMI, FL, 33156

Director

Name Role Address
BUIA, MONTSERRAT Director 9524 SW 69TH CT., MIAMI, FL, 33156

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-03-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-01-14 9524 SW 69 CT, MIAMI, FL 33156 No data
CHANGE OF MAILING ADDRESS 2020-01-14 9524 SW 69 CT, MIAMI, FL 33156 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-11 9524 SW 69 Ct, MIAMI, FL 33156 No data
REINSTATEMENT 2011-04-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-03-04
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-01-10
ANNUAL REPORT 2014-01-12
ANNUAL REPORT 2013-01-26

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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