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CERAVOLO & CERAVOLO PA

Company Details

Entity Name: CERAVOLO & CERAVOLO PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Dec 1987 (37 years ago)
Document Number: K07589
FEI/EIN Number 650018400
Address: 3365 BURNS RD, 201, PALM BEACH GARDENS, FL, 33410, US
Mail Address: 3365 BURNS RD, 201, PALM BEACH GARDENS, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336538289 2015-01-15 2015-01-15 1037 S STATE ROAD 7, SUITE 217, WELLINGTON, FL, 334146138, US 1037 S STATE ROAD 7, SUITE 217, WELLINGTON, FL, 334146138, US

Contacts

Phone +1 561-790-5700
Fax 5617905701

Authorized person

Name DR. JOSEPH CERAVOLO
Role OWNER
Phone 5617905700

Taxonomy

Taxonomy Code 1223P0300X - Periodontist
License Number DN10720
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CERAVOLO & CERAVOLO PA 401(K) PROFIT SHARING PLAN & TRUST 2023 650018400 2024-05-16 CERAVOLO & CERAVOLO PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 5617905700
Plan sponsor’s address 1037 S STATE RD 7 STE 217, WELLINGTON, FL, 33414

Signature of

Role Plan administrator
Date 2024-05-16
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
CERAVOLO & CERAVOLO PA 401(K) PROFIT SHARING PLAN & TRUST 2022 650018400 2023-04-27 CERAVOLO & CERAVOLO PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 5617905700
Plan sponsor’s address 1037 S STATE RD 7 STE 217, WELLINGTON, FL, 33414

Signature of

Role Plan administrator
Date 2023-04-27
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
CERAVOLO & CERAVOLO PA 401(K) PROFIT SHARING PLAN & TRUST 2021 650018400 2022-06-21 CERAVOLO & CERAVOLO PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 5617905700
Plan sponsor’s address 1037 S STATE RD 7 STE 217, WELLINGTON, FL, 33414

Signature of

Role Plan administrator
Date 2022-06-21
Name of individual signing JOSEPH CERAVOLO
Valid signature Filed with authorized/valid electronic signature
CERAVOLO & CERAVOLO PA 401(K) PROFIT SHARING PLAN & TRUST 2020 650018400 2021-07-19 CERAVOLO & CERAVOLO PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 5617905700
Plan sponsor’s address 1037 S STATE RD 7 STE 217, WELLINGTON, FL, 33414

Signature of

Role Plan administrator
Date 2021-07-19
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
CERAVOLO & CERAVOLO 401(K) PLAN 2019 650018400 2020-04-17 CERAVOLO & CERAVOLO PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621399
Sponsor’s telephone number 5616226580
Plan sponsor’s address 3365 BURNS ROAD #201, PALM BEACH GARDENS, FL, 33410
CERAVOLO & CERAVOLO PA 401(K) PROFIT SHARING PLAN & TRUST 2019 650018400 2020-07-28 CERAVOLO & CERAVOLO PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 5617905700
Plan sponsor’s address 1037 S STATE RD 7 STE 217, WELLINGTON, FL, 33414

Signature of

Role Plan administrator
Date 2020-07-28
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
CERAVOLO & CERAVOLO 401(K) PLAN 2018 650018400 2019-07-10 CERAVOLO & CERAVOLO PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621399
Sponsor’s telephone number 5616226580
Plan sponsor’s address 3365 BURNS ROAD #201, PALM BEACH GARDENS, FL, 33410
CERAVOLO & CERAVOLO 401(K) PLAN 2017 650018400 2018-10-01 CERAVOLO & CERAVOLO PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621399
Sponsor’s telephone number 5616226580
Plan sponsor’s address 3365 BURNS ROAD #201, PALM BEACH GARDENS, FL, 33410
CERAVOLO & CERAVOLO 401(K) PLAN 2016 650018400 2017-09-20 CERAVOLO & CERAVOLO PA 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621399
Sponsor’s telephone number 5616226580
Plan sponsor’s address 3365 BURNS ROAD #201, PALM BEACH GARDENS, FL, 33410

Agent

Name Role Address
CERAVOLO, JOSEPH J. Agent 3365 BURNS RD # 201, PALM BEACH GARDENS, FL, 33410

President

Name Role Address
CERAVOLO JOSEPH J President 1037 S.STATE ROAD 7, STE 217, WELLINGTON, FL, 33414

Director

Name Role Address
CERAVOLO JOSEPH J Director 1037 S.STATE ROAD 7, STE 217, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2003-10-24 CERAVOLO & CERAVOLO PA No data
NAME CHANGE AMENDMENT 1997-06-02 CERAVOLO & HORNE, P.A. No data

Date of last update: 03 Feb 2025

Sources: Florida Department of State