| Entity Name: | GEORGE G. KHOURI, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GEORGE G. KHOURI, MD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Oct 1998 (27 years ago) |
| Document Number: | P98000090048 |
| FEI/EIN Number |
650880339
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1411 N FLAGLER DRIVE, STE 8100, WEST PALM BEACH, FL, 33401 |
| Mail Address: | 1411 N FLAGLER DRIVE, STE 8100, WEST PALM BEACH, FL, 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457585317 | 2009-05-07 | 2009-07-28 | 1411 N FLAGLER DR, SUITE 8100, WEST PALM BEACH, FL, 334013404, US | 1411 N FLAGLER DR, SUITE 8100, WEST PALM BEACH, FL, 334013404, US | |||||||||||||||||||||||||
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| Phone | +1 561-366-8300 |
| Fax | 5613668320 |
Authorized person
| Name | DR. GEORGE G KHOURI |
| Role | PRESIDENT |
| Phone | 5613668300 |
Taxonomy
| Taxonomy Code | 156FX1100X - Ophthalmic Technician/Technologist |
| License Number | ME62262 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374672100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE G. KHOURI, MD, PA 401(K) PROFIT SHARING PLAN | 2023 | 650880339 | 2024-06-26 | GEORGE G. KHOURI, MD, PA | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-26 |
| Name of individual signing | GEORGE G. KHOURI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613718585 |
| Plan sponsor’s address | 1411 N FLAGLER DRIVE, SUITE 8100, WEST PALM BEACH, FL, 33401 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-08 |
| Name of individual signing | GEORGE G. KHOURI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613718585 |
| Plan sponsor’s address | 1411 N FLAGLER DRIVE, SUITE 8100, SUITE 8100, WEST PALM BEACH, FL, 33401 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-13 |
| Name of individual signing | GEORGE G. KHOURI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613718585 |
| Plan sponsor’s address | 1411 N FLAGLER DRIVE, SUITE 8100, WEST PALM BEACH, FL, 33401 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-27 |
| Name of individual signing | GEORGE G. KHOURI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613718585 |
| Plan sponsor’s address | 1411 N FLAGLER DRIVE, SUITE 8100, WEST PALM BEACH, FL, 33401 |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5612499748 |
| Plan sponsor’s address | 1411 N FLAGLER DRIVE, SUITE 8100, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| KHOURI GEORGE G | President | 1411 N FLAGLER DR., STE 8100, WEST PALM BEACH, FL, 33401 |
| KHOURI GEORGE G | Agent | 1411 NORTH FLAGLER DRIVE, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-25 | 1411 N FLAGLER DRIVE, STE 8100, WEST PALM BEACH, FL 33401 | - |
| CHANGE OF MAILING ADDRESS | 2011-03-25 | 1411 N FLAGLER DRIVE, STE 8100, WEST PALM BEACH, FL 33401 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-24 | 1411 NORTH FLAGLER DRIVE, STE 8100, WEST PALM BEACH, FL 33401 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-03-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7714757708 | 2020-05-01 | 0455 | PPP | 1411 N FLAGLER DR, WEST PALM BEACH, FL, 33401-3413 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
