| Entity Name: | METROPOLITAN HEALTH PARTNERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2018 (7 years ago) |
| Document Number: | L18000091485 |
| FEI/EIN Number | 82-5193041 |
| Address: | 900 Village Square Crossing, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 900Village Square Xing, STE 250, Palm Beach Gadens, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851886162 | 2018-06-28 | 2019-08-29 | 900 VILLAGE SQUARE CROSSING, SUITE 250, PALM BEACH GARDENS, FL, 33410, US | 900 VILLAGE SQUARE XING STE 250, PALM BEACH GARDENS, FL, 33410, US | |||||||||||||||||||||||||
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| Phone | +1 561-962-0101 |
| Fax | 5616222764 |
| Fax | 8552877646 |
Authorized person
| Name | VICKI WATERMAN |
| Role | ADMINISTRATOR |
| Phone | 5619620101 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 045840600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| METROPOLITAN HEALTH PARTNERS 401(K) PLAN | 2023 | 825193041 | 2024-06-10 | METROPOLITAN HEALTH PARTNERS, LLC | 8 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-10 |
| Name of individual signing | VICKI WATERMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5619620101 |
| Plan sponsor’s address | SUITE 250, PALM BEACH GARDENS, FL, 33410 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-05 |
| Name of individual signing | VICKI WATERMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WATERMAN VICKI | Agent | 729 CHARLESTOWN CIRCLE, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| WATERMAN JACK D.O. | Authorized Member | 729 CHARLESTOWN CIRCLE, PALM BEACH GARDENS, FL, 33410 |
| WATERMAN VICKI | Authorized Member | 729 CHARLESTOWN CIRCLE, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-17 | 900 Village Square Crossing, Suite 250, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-13 | 900 Village Square Crossing, Suite 250, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-13 |
| Florida Limited Liability | 2018-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
