| Entity Name: | MD HEALTHCARE NETWORK,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2014 (10 years ago) |
| Document Number: | L14000161733 |
| FEI/EIN Number | 47-2491779 |
| Address: | 4269 NW 88 Ave, Sunrise, FL, 33351, US |
| Mail Address: | 304 INDIAN TRACE, SUITE 636, SUNRISE, FL, 33326, US |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962892141 | 2015-01-27 | 2015-01-27 | 304 INDIAN TRCE, SUITE 636, WESTON, FL, 333262996, US | 304 INDIAN TRCE, SUITE 636, WESTON, FL, 333262996, US | |||||||||||||
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| Phone | +1 561-843-7720 |
Authorized person
| Name | JOSEPH J DICAPUA |
| Role | MGR |
| Phone | 5618437720 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MD HEALTHCARE NETWORK 401K PLAN | 2022 | 472491779 | 2023-10-13 | MD HEALTHCARE NETWORK LLC | 18 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | PAUL CLOUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-13 |
| Name of individual signing | PAUL CLOUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WESTERBURGER DERWIN A | Agent | 304 INDIAN TRACE, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| WESTERBURGER DERWIN A | Manager | 304 INDIAN TRACE SUITE 636, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-03 | 4269 NW 88 Ave, Sunrise, FL 33351 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-05-01 |
| AMENDED ANNUAL REPORT | 2018-10-17 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
