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HZ PLASTIC SURGERY LLC

Company Details

Entity Name: HZ PLASTIC SURGERY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Apr 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 25 Oct 2016 (8 years ago)
Document Number: L15000067203
FEI/EIN Number 47-3742145
Address: 17085 Porter Rd, STE 120, Winter Garden, FL 34787
Mail Address: 17085 Porter Rd, STE 120, Winter Garden, FL 34787
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275920209 2015-04-16 2016-04-18 7575 DR PHILLIPS BLVD, SUITE 10, ORLANDO, FL, 328197216, US 7575 DR PHILLIPS BLVD, SUITE 10, ORLANDO, FL, 328197216, US

Contacts

Phone +1 407-377-5438
Fax 4073866188

Authorized person

Name DR. HARUN ZEKIROVSKI
Role OWNER/PHYSICIAN
Phone 4073192552

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
License Number OS12290
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HZ PLASTIC SURGERY LLC 401(K) P/S PLAN 2022 473742145 2023-09-11 HZ PLASTIC SURGERY LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 4072341376
Plan sponsor’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819

Plan administrator’s name and address

Administrator’s EIN 473742145
Plan administrator’s name HZ PLASTIC SURGERY LLC
Plan administrator’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819
Administrator’s telephone number 4072341376

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing GARY MUZZONIGRO
Valid signature Filed with authorized/valid electronic signature
HZ PLASTIC SURGERY LLC 401(K) P/S PLAN 2021 473742145 2022-09-30 HZ PLASTIC SURGERY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 4072341376
Plan sponsor’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819

Plan administrator’s name and address

Administrator’s EIN 473742145
Plan administrator’s name HZ PLASTIC SURGERY LLC
Plan administrator’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819
Administrator’s telephone number 4072341376

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing GARY MUZZONIGRO
Valid signature Filed with authorized/valid electronic signature
HZ PLASTIC SURGERY LLC 401(K) P/S PLAN 2020 473742145 2021-12-13 HZ PLASTIC SURGERY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 4072341376
Plan sponsor’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819

Plan administrator’s name and address

Administrator’s EIN 473742145
Plan administrator’s name HZ PLASTIC SURGERY LLC
Plan administrator’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819
Administrator’s telephone number 4072341376

Signature of

Role Plan administrator
Date 2021-12-13
Name of individual signing GARY MUZZONIGRO
Valid signature Filed with authorized/valid electronic signature
HZ PLASTIC SURGERY LLC 401(K) P/S PLAN 2019 473742145 2020-10-01 HZ PLASTIC SURGERY LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 4078087480
Plan sponsor’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819

Plan administrator’s name and address

Administrator’s EIN 473742145
Plan administrator’s name HZ PLASTIC SURGERY LLC
Plan administrator’s address 7575 DR PHILLIPS BLVD STE 10, ORLANDO, FL, 32819
Administrator’s telephone number 4078087480

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing GARY MUZZONIGRO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MUZZONIGRO, GARY PATRICK, Jr. Agent 17085 Porter Rd, Ste 130, Winter Garden, FL 34787

Chief Medical Officer

Name Role Address
ZEKIROVSKI, HARUN, DO Chief Medical Officer 7617 Toscana Blvd, Orlando, FL 32819

Chief Executive Officer

Name Role Address
Muzzonigro, Gary Patrick, Jr. Chief Executive Officer 15784 Sweet Limetta Dr, Winter Garden, FL 34787

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000134709 VADO PLASTIC SURGERY ACTIVE 2023-11-01 2028-12-31 No data 7575 DR PHILLIPS BLVD, STE 10, ORLANDO, FL, 32819
G22000091535 HZ SURGERY CENTER ACTIVE 2022-08-03 2027-12-31 No data 7575 DR PHILLIPS BLVD, STE 10, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-16 17085 Porter Rd, STE 120, Winter Garden, FL 34787 No data
CHANGE OF MAILING ADDRESS 2024-04-16 17085 Porter Rd, STE 120, Winter Garden, FL 34787 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-16 17085 Porter Rd, Ste 130, Winter Garden, FL 34787 No data
REGISTERED AGENT NAME CHANGED 2017-02-09 MUZZONIGRO, GARY PATRICK, Jr. No data
REINSTATEMENT 2016-10-25 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
LC AMENDMENT 2016-07-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-05-02
ANNUAL REPORT 2022-08-28
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-02-09
REINSTATEMENT 2016-10-25
LC Amendment 2016-07-01

Date of last update: 21 Jan 2025

Sources: Florida Department of State