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  5. BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A.

BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A.

Company Details

Entity Name: BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 14 Jul 1992 (33 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 18 Aug 1992 (32 years ago)
Document Number: V50272
FEI/EIN Number 65-0371034
Address: 690 EAST 25 ST, HIALEAH, FL 33013
Mail Address: 690 EAST 25 ST, HIALEAH, FL 33013
ZIP code: 33013
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2018 650371034 2019-03-12 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-12
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2018 650371034 2019-03-12 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-12
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2016 650371034 2019-03-12 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-12
Name of individual signing MANUEL BOUZA MD
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2015 650371034 2019-03-12 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing MANUEL BOUZA MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-12
Name of individual signing MANUEL BOUZA MD
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2014 650371034 2015-10-15 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2013 650371034 2014-10-03 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2012 650371034 2013-06-28 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2011 650371034 2012-06-27 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Plan administrator’s name and address
Administrator’s EIN 650371034
Plan administrator’s name BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 690 E 25TH STREET, HIALEAH, FL, 33013
Administrator’s telephone number 3056960331

Signature of
Role Plan administrator
Date 2012-06-27
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2010 650371034 2011-09-21 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Plan administrator’s name and address
Administrator’s EIN 650371034
Plan administrator’s name BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 690 E 25TH STREET, HIALEAH, FL, 33013
Administrator’s telephone number 3056960331

Signature of
Role Plan administrator
Date 2011-09-21
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with authorized/valid electronic signature
BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2010 650371034 2011-09-13 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3056960331
Plan sponsor’s address 690 E 25TH STREET, HIALEAH, FL, 33013

Plan administrator’s name and address
Administrator’s EIN 650371034
Plan administrator’s name BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 690 E 25TH STREET, HIALEAH, FL, 33013
Administrator’s telephone number 3056960331

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing MANUEL BOUZA M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
BOUZA, MANUEL M.D. Agent 1327 CORAL WAY, CORAL GABLES, FL 33134

President

Name Role Address
BOUZA, M.D., MANUEL President 1327 CORAL WAY, CORAL GABLES, FL

Director

Name Role Address
BOUZA, M.D., MANUEL Director 1327 CORAL WAY, CORAL GABLES, FL
MIRALLES-BOUZA, M.D., MARIETTA C. Director 1327 CORAL WAY, CORAL GABLES, FL

Secretary

Name Role Address
MIRALLES-BOUZA, M.D., MARIETTA C. Secretary 1327 CORAL WAY, CORAL GABLES, FL

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000031817 MANUEL BOUZA MD EXPIRED 2018-03-07 2023-12-31 No data 690 EAST 25 ST, HIALEAH, FL, 33013
G18000031827 MARIETTA C MIRALLES-BOUZA MD EXPIRED 2018-03-07 2023-12-31 No data 690 EAST 25 ST, HIALEAH, FL, 33013
G08085900341 MARIETTA C MIRALLES-BOUZA M D EXPIRED 2008-03-25 2013-12-31 No data 1327 CORAL WAY, CORAL GABLES, FL, 33134
G08085900343 MANUEL BOUZA M D EXPIRED 2008-03-25 2013-12-31 No data 1327 CORAL WAY, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-18 690 EAST 25 ST, HIALEAH, FL 33013 No data
CHANGE OF MAILING ADDRESS 2009-04-18 690 EAST 25 ST, HIALEAH, FL 33013 No data
REGISTERED AGENT NAME CHANGED 1996-04-23 BOUZA, MANUEL M.D. No data
REGISTERED AGENT ADDRESS CHANGED 1996-04-23 1327 CORAL WAY, CORAL GABLES, FL 33134 No data
NAME CHANGE AMENDMENT 1992-08-18 BOUZA & MIRALLES MEDICAL ASSOCIATES, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-15
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-02-22
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-06
ANNUAL REPORT 2016-03-19
ANNUAL REPORT 2015-03-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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