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  5. PRODY UROLOGY, PLLC

PRODY UROLOGY, PLLC

Company Details

Entity Name: PRODY UROLOGY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Feb 2019 (6 years ago)
Document Number: L19000033696
FEI/EIN Number 83-3398772
Address: 575 S. WICKHAM ROAD, SUITE B, MELBOURNE, FL 32904
Mail Address: 575 S. WICKHAM ROAD, SUITE B, MELBOURNE, FL 32904
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578028197 2019-02-07 2019-02-07 575 S WICKHAM RD STE B, WEST MELBOURNE, FL, 329041170, US 575 S WICKHAM RD STE B, WEST MELBOURNE, FL, 329041170, US

Contacts
Phone +1 321-308-5060

Authorized person
Name PRODROMOS BORBOROGLU
Role PHYSICIAN
Phone 3213085060

Taxonomy
Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRODY UROLOGY, PLLC 401(K) PLAN 2023 833398772 2024-02-22 PRODY UROLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2024-02-22
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC CASH BALANCE PLAN 2023 833398772 2024-09-09 PRODY UROLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC CASH BALANCE PLAN 2022 833398772 2023-05-12 PRODY UROLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2023-05-12
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC 401(K) PLAN 2022 833398772 2023-05-05 PRODY UROLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2023-05-05
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC CASH BALANCE PLAN 2021 833398772 2022-05-24 PRODY UROLOGY, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC 401(K) PLAN 2021 833398772 2022-05-04 PRODY UROLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC 401(K) PLAN 2020 833398772 2021-07-07 PRODY UROLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature
PRODY UROLOGY, PLLC 401(K) PLAN 2019 833398772 2020-05-21 PRODY UROLOGY, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214744402
Plan sponsor’s address 575 S. WICKHAM ROAD - SUITE B, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing DR. PRODROMOS BORBOROGLU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BORBOROGLU, PRODROMOS G, MD Agent 575 S. WICKHAM ROAD, SUITE B, MELBOURNE, FL 32904

Manager

Name Role Address
BORBOROGLU, PRODROMOS G, MD Manager 575 S. WICKHAM ROAD, SUITE B MELBOURNE, FL 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-05 BORBOROGLU, PRODROMOS G, MD No data

Documents

Name Date
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-17
Florida Limited Liability 2019-02-01

Related by officers

BORBOROGLU, PRODROMOS G, MD

ASC UROMANAGEMENT, LLC

Related by address

No related companies by address

Date of last update: 17 Jan 2025

Sources: Florida Department of State

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