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  5. FREDRIC S. BRANDT, M.D., P.A.

FREDRIC S. BRANDT, M.D., P.A.

Headquarter

Company Details

Entity Name: FREDRIC S. BRANDT, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Oct 1985 (39 years ago)
Document Number: H81404
FEI/EIN Number 592587382
Address: 4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 33146, US
Mail Address: 4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 33146, US
ZIP code: 33146
County: Miami-Dade
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of FREDRIC S. BRANDT, M.D., P.A., NEW YORK 4012240 NEW YORK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962520890 2007-03-27 2020-08-22 4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 331461837, US 4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 331461837, US

Contacts
Phone +1 305-443-6606
Fax 3054434890

Authorized person
Name MRS. MARIA FRANCESCA ROBLERO
Role ACCOUNT MANAGER
Phone 3054436606

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2018 592587382 2019-10-01 FREDRIC S. BRANDT, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing MARGUERITE MOLONEY
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2017 592587382 2018-10-05 FREDRIC S. BRANDT, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing MARGUERITE MOLONEY
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2016 592587382 2017-10-12 FREDRIC S. BRANDT, M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing MARGUERITE MOLONEY
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2015 592587382 2016-10-14 FREDRIC S. BRANDT, M.D., P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing MARGUERITE MOLONEY
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2014 592587382 2015-10-09 FREDRIC S. BRANDT, M.D., P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing MARGUERITE MOLONEY
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2013 592587382 2014-09-09 FREDRIC S. BRANDT, M.D., P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2014-09-09
Name of individual signing FREDRIC BRANDT
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2012 592587382 2013-09-30 FREDRIC S. BRANDT, M.D., P.A. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing FREDRIC BRANDT
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2011 592587382 2012-09-21 FREDRIC S. BRANDT, M.D., P.A. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Plan administrator’s name and address
Administrator’s EIN 592587382
Plan administrator’s name FREDRIC S. BRANDT, M.D., P.A.
Plan administrator’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146
Administrator’s telephone number 3054436606

Signature of
Role Plan administrator
Date 2012-09-21
Name of individual signing FREDRIC BRANDT
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2010 592587382 2011-08-31 FREDRIC S. BRANDT, M.D., P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Plan administrator’s name and address
Administrator’s EIN 592587382
Plan administrator’s name FREDRIC S. BRANDT, M.D., P.A.
Plan administrator’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146
Administrator’s telephone number 3054436606

Signature of
Role Plan administrator
Date 2011-08-31
Name of individual signing FREDRIC BRANDT
Valid signature Filed with authorized/valid electronic signature
FREDRIC S. BRANDT, M.D., P.A. 401(K) RETIREMENT PLAN 2009 592587382 2010-09-15 FREDRIC S. BRANDT, M.D., P.A. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3054436606
Plan sponsor’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Plan administrator’s name and address
Administrator’s EIN 592587382
Plan administrator’s name FREDRIC S. BRANDT, M.D., P.A.
Plan administrator’s address 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146
Administrator’s telephone number 3054436606

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing FREDRIC BRANDT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRANDT, FREDRIC S. Agent 4425 PONCE DE LEON BLVD, CORAL GABLES, FL, 33146

President

Name Role Address
BRANDT, FREDRIC S. President 4425 PONCE DE LEON BLVD #200, CORAL GABLES, FL, 33146

Director

Name Role Address
BRANDT, FREDRIC S. Director 4425 PONCE DE LEON BLVD #200, CORAL GABLES, FL, 33146

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-04-28 No data No data
CORPORATE MERGER 1994-12-29 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 900000005449

Related by officers

No related officers

Related by address

4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 33146, US

DERMATOLOGY AND SKIN CANCER INSTITUTE, P.A.

4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 33146, US

DERMATOLOGY AND SKIN CANCER INSTITUTE, P.A.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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