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  5. BRIAN D. HAAS, M.D., P.L.

BRIAN D. HAAS, M.D., P.L.

Company Details

Entity Name: BRIAN D. HAAS, M.D., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jul 2007 (18 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 01 Oct 2009 (15 years ago)
Document Number: L07000077575
FEI/EIN Number 260609217
Address: 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
Mail Address: 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134351802 2009-08-14 2010-11-04 415 BRIERCLIFF DRIVE, ORLANDO, FL, 328062203, US 415 BRIERCLIFF DRIVE, ORLANDO, FL, 328062203, US

Contacts
Phone +1 407-841-1490
Fax 4078416464

Authorized person
Name DORIS BLAKEMORE
Role OFFICE MANAGER
Phone 4078411490

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME 0069320
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRIAN D. HAAS 401K PROFIT SHARING PLAN 2023 260609217 2024-07-09 BRIAN D. HAAS, M.D., P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS, M.D., P.L. DEFINED BENEFIT PENSION PLAN 2023 260609217 2024-07-09 BRIAN D. HAAS, M.D., P.L. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS, M.D., P.L. DEFINED BENEFIT PENSION PLAN 2022 260609217 2023-10-10 BRIAN D. HAAS, M.D., P.L. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS 401K PROFIT SHARING PLAN 2022 260609217 2023-10-10 BRIAN D. HAAS, M.D., P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS, M.D., P.L. DEFINED BENEFIT PENSION PLAN 2021 260609217 2022-07-15 BRIAN D. HAAS, M.D., P.L. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS 401K PROFIT SHARING PLAN 2021 260609217 2022-07-15 BRIAN D. HAAS, M.D., P.L. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS, M.D., P.L. DEFINED BENEFIT PENSION PLAN 2020 260609217 2021-07-19 BRIAN D. HAAS, M.D., P.L. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS 401K PROFIT SHARING PLAN 2020 260609217 2021-07-19 BRIAN D. HAAS, M.D., P.L. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
BRIAN D. HAAS, M.D., P.L. DEFINED BENEFIT PENSION PLAN 2019 260609217 2020-06-22 BRIAN D. HAAS, M.D., P.L. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing BRIAND D HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing BRIAND D HAAS
Valid signature Filed with authorized/valid electronic signature
BRIAN D. HAAS 401K PROFIT SHARING PLAN 2019 260609217 2020-06-22 BRIAN D. HAAS, M.D., P.L. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 4078411490
Plan sponsor’s address 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing BRIAN HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing BRIAN HAAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Haas Brian Dr. Agent 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806

Manager

Name Role Address
HAAS BRIAN DDr. Manager 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000018524 BOUTIQUE EYE ORLANDO ACTIVE 2015-02-20 2025-12-31 No data 415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806
G14000083186 BOUTIQUE EYE ORLANDO ACTIVE 2014-08-13 2030-12-31 No data 415 BRIERCLIFF DR., ORLANDO, FL, 32806--220

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-10 Haas, Brian, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-10 415 BRIERCLIFF DRIVE, ORLANDO, FL 32806 No data
LC AMENDMENT 2009-10-01 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-07 415 BRIERCLIFF DRIVE, ORLANDO, FL 32806 No data
CHANGE OF MAILING ADDRESS 2009-01-07 415 BRIERCLIFF DRIVE, ORLANDO, FL 32806 No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-08

Related by officers

Haas Brian Dr.

HAAS ORLANDO PROPERTIES, LLC EYESURG HOLDINGS, LLC

Related by address

415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806

FLORIDA MOBILE LITHOTRIPTERS, INC. HAAS-PARKER MANAGEMENT, LLC

415 BRIERCLIFF DRIVE, ORLANDO, FL, 32806

FLORIDA MOBILE LITHOTRIPTERS, INC. HAAS-PARKER MANAGEMENT, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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