Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Brevard
    4. ›
  4. 32952
    5. ›
  5. BREVARD NEPHROLOGY GROUP, P.A.

BREVARD NEPHROLOGY GROUP, P.A.

Company Details

Entity Name: BREVARD NEPHROLOGY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Sep 1983 (41 years ago)
Document Number: G58661
FEI/EIN Number 592319823
Address: 245 S COURTNEY PKWY, BLDG B, MERRITT ISLAND, FL, 32952, US
Mail Address: 245 S COURTNEY PKWY, BLDG B, MERRITT ISLAND, FL, 32952, US
ZIP code: 32952
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2023 592319823 2024-06-04 BREVARD NEPHROLOGY GROUP, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2022 592319823 2023-06-06 BREVARD NEPHROLOGY GROUP, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2021 592319823 2022-06-03 BREVARD NEPHROLOGY GROUP, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2022-06-03
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2020 592319823 2021-05-31 BREVARD NEPHROLOGY GROUP, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2021-05-31
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2019 592319823 2020-07-24 BREVARD NEPHROLOGY GROUP, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2018 592319823 2019-06-05 BREVARD NEPHROLOGY GROUP, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2017 592319823 2018-06-05 BREVARD NEPHROLOGY GROUP, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2016 592319823 2017-07-06 BREVARD NEPHROLOGY GROUP, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2015 592319823 2016-07-02 BREVARD NEPHROLOGY GROUP, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2016-07-01
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature
BREVARD NEPHROLOGY GROUP, P.A. 401K PLAN 2014 592319823 2015-06-08 BREVARD NEPHROLOGY GROUP, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-08-01
Business code 621111
Sponsor’s telephone number 3214535326
Plan sponsor’s address 245 S COURTNEY CAUSEWAY PARKWAY, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing SUKON WANICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Girgis Hany I Agent 245 SOUTH COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952

Secretary

Name Role Address
GIRGIS, HANY I Secretary 245 S COURTENAY PKWY., MERRITT ISLAND, FL

President

Name Role Address
WANICH CHARLES K President 245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952

Treasurer

Name Role Address
YASSA SAMIR K Treasurer 245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
CANLAS ELLERY E Treasurer 245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952

Manager

Name Role Address
Girgis Christopher H Manager 245 S Courtenay Pkwy, Merritt Island, FL, 32952

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1993-08-04 BREVARD NEPHROLOGY GROUP, P.A. No data

Related by officers

GIRGIS, HANY I

BREVARD NEPHROLOGY ASSOCIATES, INC.

Girgis Hany I

PROGENITURE, LLC MEDPLEX, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated