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  5. PULMONARY AND SLEEP SPECIALISTS OF FLORIDA, P.A.

PULMONARY AND SLEEP SPECIALISTS OF FLORIDA, P.A.

Company Details

Entity Name: PULMONARY AND SLEEP SPECIALISTS OF FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Mar 1978 (47 years ago)
Document Number: 562346
FEI/EIN Number 591803105
Address: ONE W SAMPLE RD, ONE MEDICAL PLAZA #304, POMPANO BEACH, FL, 33064, US
Mail Address: ONE W SAMPLE RD #304, POMPANO BEACH, FL, 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093724809 2006-08-08 2013-07-02 1 W SAMPLE RD, STE 304, POMPANO BEACH, FL, 330643547, US 1 W SAMPLE RD, STE 304, POMPANO BEACH, FL, 330643547, US

Contacts
Phone +1 954-941-1100
Fax 9549414600

Authorized person
Name DR. DARREN S. HOFFBERGER
Role OWNER/PRESIDENT
Phone 9549411100

Taxonomy
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 263163600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2022 591803105 2023-10-04 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE RD, STE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing JOSE MARTINEZ, MD, P.A.
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALIST 401(K) PLAN 2021 591803105 2022-10-13 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P.A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE RD, STE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JOSE MARTINEZ, MD, P.A.
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALIST 401(K) PLAN 2020 591803105 2021-10-14 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P.A 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE RD, STE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing JOSE MARTINEZ, MD, P.A.
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2019 591803105 2020-08-07 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P.A 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE RD, STE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2020-08-07
Name of individual signing JOSE MARTINEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-07
Name of individual signing JOSE MARTINEZ
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2016 591803105 2017-08-18 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE RD, STE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2017-08-18
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2015 591803105 2016-05-19 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P. A 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE RD, STE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2014 591803105 2015-07-21 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P..A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2013 591803105 2014-07-23 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P..A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2012 591803105 2013-06-19 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P..A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-19
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP SPECIALISTS 401(K) PLAN 2011 591803105 2012-06-25 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P..A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9549411100
Plan sponsor’s address 1 WEST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 591803105
Plan administrator’s name PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P..A.
Plan administrator’s address 1 WEST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9549411100

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing DARREN HOFFBERGER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTINEZ JOSE L Agent ONE W SAMPLE RD, POMPANO BEACH, FL, 33064

President

Name Role Address
MARTINEZ JOSE L President ONE W SAMPLE RD #304, POMPANO BEACH, FL, 33064

Director

Name Role Address
MARTINEZ JOSE L Director ONE W SAMPLE RD #304, POMPANO BEACH, FL, 33064

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1999-08-31 PULMONARY AND SLEEP SPECIALISTS OF FLORIDA, P.A. No data
NAME CHANGE AMENDMENT 1998-07-15 WESTPHAL & SHAPIRO, M.D., P.A. No data
NAME CHANGE AMENDMENT 1985-05-15 DAN M. WESTPHAL, M.D., P.A. No data
NAME CHANGE AMENDMENT 1983-10-26 WESTPHAL AND ROMANO PULMONARY ASSOCIATES, P.A. No data

Related by officers

MARTINEZ JOSE L

VESTA COMMERCIAL MORTGAGE INC. AMERICAN TRUCKING INTERNATIONAL INC. AMEZQUIMART TRANSPORT INT, C.A., INC. TAMIAMI AUTO BODY REPAIR, INC. J & M MEDICAL SUPPLY INC. SAN ANTONY, INC. MANAGEMENTWORKS CONSULTING GROUP, INC. JOSE LUIS MARTINEZ, M.D., P.A. WILLIAM DRISCOLL, INC. EUROPE BAKERY, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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