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  5. ABBOTT KAGAN, II, M.D., P.A.

ABBOTT KAGAN, II, M.D., P.A.

Company Details

Entity Name: ABBOTT KAGAN, II, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Nov 1987 (37 years ago)
Document Number: K02539
FEI/EIN Number 65-0013512
Address: 8710 COLLEGE PARKWAY, FT. MYERS, FL 33919
Mail Address: 8710 COLLEGE PARKWAY, FT. MYERS, FL 33919
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235230087 2006-09-26 2010-05-07 8710 COLLEGE PKWY, FT. MYERS, FL, 33919, US 8710 COLLEGE PKWY, FT. MYERS, FL, 33919, US

Contacts
Phone +1 239-482-8788
Fax 2394821566

Authorized person
Name MRS. STACY LEE DAUBENBERGER
Role INSURANCE/BILLING MANAGER
Phone 2394828788

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 650013512 2018-04-13 ABBOTT KAGAN, II, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 650013512 2017-03-06 ABBOTT KAGAN, II, M.D., P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2017-03-06
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 650013512 2016-05-11 ABBOTT KAGAN, II, M.D., P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2016-05-11
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 650013512 2015-05-20 ABBOTT KAGAN, II, M.D., P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 650013512 2014-05-16 ABBOTT KAGAN, II, M.D., P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2014-05-16
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-16
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 650013512 2013-04-18 ABBOTT KAGAN, II, M.D., P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2013-04-18
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-18
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 650013512 2012-10-08 ABBOTT KAGAN, II, M.D., P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650013512
Plan administrator’s name ABBOTT KAGAN, II, M.D., P.A.
Plan administrator’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919
Administrator’s telephone number 2394828788

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 650013512 2012-05-03 ABBOTT KAGAN, II, M.D., P.A. 33
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650013512
Plan administrator’s name ABBOTT KAGAN, II, M.D., P.A.
Plan administrator’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919
Administrator’s telephone number 2394828788

Signature of
Role Plan administrator
Date 2012-05-03
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-03
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 650013512 2011-05-27 ABBOTT KAGAN, II, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650013512
Plan administrator’s name ABBOTT KAGAN, II, M.D., P.A.
Plan administrator’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919
Administrator’s telephone number 2394828788

Signature of
Role Plan administrator
Date 2011-05-27
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-27
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
ABBOTT KAGAN, II, M.D., P.A. 401K PROFIT SHARING PLAN AND TRUST 2009 650013512 2010-07-13 ABBOTT KAGAN, II, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 2394828788
Plan sponsor’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650013512
Plan administrator’s name ABBOTT KAGAN, II, M.D., P.A.
Plan administrator’s address 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919
Administrator’s telephone number 2394828788

Signature of
Role Plan administrator
Date 2010-07-13
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing ABBOTT KAGAN, II, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BOWER, TANYA L, ESQ. Agent C/O TRIPP SCOTT, P.A., 110 SE 6TH STREET, 15TH FLOOR, FORT LAUDERDALE, FL 33301

Director

Name Role Address
ATKINSON, TODD S, M.D. Director 8710 COLLEGE PARKWAY, FORT MYERS, FL 33919

President

Name Role Address
ATKINSON, TODD S, M.D. President 8710 COLLEGE PARKWAY, FORT MYERS, FL 33919

Secretary

Name Role Address
ATKINSON, TODD S, M.D. Secretary 8710 COLLEGE PARKWAY, FORT MYERS, FL 33919

Treasurer

Name Role Address
ATKINSON, TODD S, M.D. Treasurer 8710 COLLEGE PARKWAY, FORT MYERS, FL 33919

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000077983 ADVANCED ORTHOPEDICS & SPORTS MEDICINE OF SWFL ACTIVE 2023-06-29 2028-12-31 No data 8710 COLLEGE PARKWAY, FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-06-05 BOWER, TANYA L, ESQ. No data
REGISTERED AGENT ADDRESS CHANGED 2017-06-05 C/O TRIPP SCOTT, P.A., 110 SE 6TH STREET, 15TH FLOOR, FORT LAUDERDALE, FL 33301 No data
CHANGE OF PRINCIPAL ADDRESS 1995-04-24 8710 COLLEGE PARKWAY, FT. MYERS, FL 33919 No data
CHANGE OF MAILING ADDRESS 1995-04-24 8710 COLLEGE PARKWAY, FT. MYERS, FL 33919 No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-02-28
AMENDED ANNUAL REPORT 2017-06-05
ANNUAL REPORT 2017-02-24
ANNUAL REPORT 2016-03-02

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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