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  5. FISHERMEN'S HOSPITAL, INC.

FISHERMEN'S HOSPITAL, INC.

Company Details

Entity Name: FISHERMEN'S HOSPITAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 04 Aug 1960 (64 years ago)
Document Number: 701271
FEI/EIN Number 590914771
Address: 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050, US
Mail Address: 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050, US
ZIP code: 33050
County: Monroe
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538400460 2013-03-01 2013-03-20 3301 OVERSEAS HWY, MARATHON, FL, 330502329, US 3301 OVERSEAS HWY, MARATHON, FL, 330502329, US

Contacts
Phone +1 305-743-5533
Fax 3057438684

Authorized person
Name DR. HAL W LEFTWICH DBA, FACHE
Role CHIEF EXECUTIVE OFFICER
Phone 3052896401

Taxonomy
Taxonomy Code 275N00000X - Medicare Defined Swing Bed Hospital Unit
License Number 4389
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FISHERMEN'S HOSPITAL FLEXIBLE SPENDING ACCOUNT PLAN 2016 590914771 2018-04-09 FISHERMEN'S HOSPITAL INC 250
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 0
FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2016 590914771 2018-01-30 FISHERMEN'S HOSPITAL, INC. 72
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HWY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 0
FISHERMEN'S HOSPITAL FLEXIBLE SPENDING ACCOUNT PLAN 2015 590914771 2017-04-05 FISHERMEN'S HOSPITAL INC 265
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 250
FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2015 590914771 2017-04-05 FISHERMEN'S HOSPITAL, INC. 72
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HWY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 72
FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2014 590914771 2016-04-18 FISHERMEN'S HOSPITAL, INC. 149
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 72
FISHERMEN'S HOSPITAL FLEXIBLE SPENDING ACCOUNT PLAN 2014 590914771 2015-12-14 FISHERMEN'S HOSPITAL INC 187
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 265
FISHERMEN'S HOSPITAL FLEXIBLE SPENDING ACCOUNT PLAN 2013 590914771 2015-02-02 FISHERMEN'S HOSPITAL INC 188
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 187
FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2013 590914771 2015-02-10 FISHERMEN'S HOSPITAL, INC. 146
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 149
FISHERMEN'S HOSPITAL FLEXIBLE SPENDING ACCOUNT PLAN 2012 590914771 2014-03-14 FISHERMEN'S HOSPITAL INC 124
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 188

Signature of
Role Plan administrator
Date 2014-03-14
Name of individual signing HAL W. LEFTWICH
Valid signature Filed with authorized/valid electronic signature
FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2012 590914771 2014-02-06 FISHERMEN'S HOSPITAL, INC. 156
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-07-01
Business code 622000
Sponsor’s telephone number 3057435533
Plan sponsor’s mailing address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050
Plan sponsor’s address 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Number of participants as of the end of the plan year
Active participants 146

Signature of
Role Plan administrator
Date 2014-01-30
Name of individual signing HAL. W. LEFTWICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MATZNER GARY Agent 2800 Ponce de Leon Blvd, Coral Gables, FL, 33134

Chairman

Name Role Address
SAMESS DANIEL Chairman 12222 OVERSEAS HWY, MARATHON, FL, 33050

Vice Chairman

Name Role Address
Wright Barbara Vice Chairman 401 Margate Drive, MARATHON, FL, 33050

Secretary

Name Role Address
Coldren Jeff Secretary 5409 Overseas Highway, Suite 104, Marathon, FL, 33050

Director

Name Role Address
MALAFY RICHARD Director 10887 OVERSEAS HWY, MARATHON, FL, 33050
WALDERA CHRISTOPHER Director 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000006659 FISHERMEN'S COMMUNITY HOSPITAL ACTIVE 2012-01-19 2027-12-31 No data 3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-12-19 No data No data
AMENDMENT 2010-12-14 No data No data

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Related by address

3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050, US

ROBERT J. NELMS JR., M.D., P.A.

3301 OVERSEAS HIGHWAY, MARATHON, FL, 33050, US

ROBERT J. NELMS JR., M.D., P.A.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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