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  5. MORRIS R. HANAN MD PA

MORRIS R. HANAN MD PA

Company Details

Entity Name: MORRIS R. HANAN MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 13 Jul 1981 (44 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Apr 2019 (6 years ago)
Document Number: 694392
FEI/EIN Number 59-2095930
Address: 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL 33609
Mail Address: 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144553587 2009-09-17 2010-05-04 508 S HABANA AVE, SUITE 260, TAMPA, FL, 336094181, US 508 S HABANA AVE, SUITE 260, TAMPA, FL, 336094181, US

Contacts
Phone +1 813-876-9191
Fax 8138763103

Authorized person
Name MORRIS HANAN
Role PHYSICIAN
Phone 8138769191

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME36666
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 065008100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MORRIS R. HANAN, MD, PA 401(K) PLAN 2023 592095930 2024-08-07 MORRIS R. HANAN, MD, PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 S HABANA AVE STE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2022 592095930 2023-05-18 MORRIS R. HANAN, MD, PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2022 592095930 2023-05-18 MORRIS R. HANAN, MD, PA 5
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2022 592095930 2023-05-18 MORRIS R. HANAN, MD, PA 5
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2022 592095930 2023-05-18 MORRIS R. HANAN, MD, PA 5
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2021 592095930 2022-10-14 MORRIS R. HANAN, MD, PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing MORRIS R HANAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing MORRIS R HANAN
Valid signature Filed with authorized/valid electronic signature
MORRIS R. HANAN, MD, PA 401(K) PLAN 2020 592095930 2021-10-06 MORRIS R. HANAN, MD, PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2019 592095930 2020-10-15 MORRIS R. HANAN, MD, PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2018 592095930 2019-09-24 MORRIS R. HANAN, MD, PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 33609
MORRIS R. HANAN, MD, PA 401(K) PLAN 2017 592095930 2018-09-18 MORRIS R. HANAN, MD, PA 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8138769191
Plan sponsor’s address 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL, 336094198

Agent

Name Role Address
MORRIS, HANAN R, Dr. Agent 508 S HABANA AVE, SUITE 260, TAMPA, FL 33609

Manager

Name Role Address
HANAN, MORRIS MD Manager 508 SO HABANA, SUITE 260, TAMPA, FL 33609

Director

Name Role Address
HANAN, MORRIS MD Director 508 SO HABANA, SUITE 260, TAMPA, FL 33609

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-16 MORRIS, HANAN R, Dr. No data
REINSTATEMENT 2019-04-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
NAME CHANGE AMENDMENT 2010-05-14 MORRIS R. HANAN MD PA No data
REGISTERED AGENT ADDRESS CHANGED 1994-01-19 508 S HABANA AVE, SUITE 260, TAMPA, FL 33609 No data
CHANGE OF PRINCIPAL ADDRESS 1992-02-24 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 1992-02-24 508 SOUTH HABANA AVENUE, SUITE 260, TAMPA, FL 33609 No data

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-08
REINSTATEMENT 2019-04-16
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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