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B. RONALD LOPEZ, M.D.P.A.

B. RONALD LOPEZ, M.D.P.A.

Company Details

Entity Name:	B. RONALD LOPEZ, M.D.P.A.
Jurisdiction:	FLORIDA
Filing Type:	Florida Profit Corporation
Status:	Active
Date Filed:	19 Dec 1989 (35 years ago)
Document Number:	L38016
FEI/EIN Number	65-0186657
Address:	2843 ALT 19, PALM HARBOR, FL 34683
Mail Address:	2843 ALT 19, PALM HARBOR, FL 34683
ZIP code:	34683
County:	Pinellas
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1861760928

2011-12-05

2011-12-15

3843 ALT 19, PALM HARBOR, FL, 34683, US

2843 ALT 19, PALM HARBOR, FL, 346831926, US

Contacts

Phone	+1 727-772-0038
Fax	7277872384

Authorized person

Name	DR. BERNARD RONALD LOPEZ
Role	MD
Phone	7277720038

Taxonomy

Taxonomy Code	2084P0804X - Child & Adolescent Psychiatry Physician
License Number	ME0042956
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

RON LOPEZ, M.D. P.A. 401(K) PLAN

2022

650186657

2023-02-20

B. RONALD LOPEZ, M.D., P.A.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

RON LOPEZ, M.D.P.A. 401(K) PLAN

2021

650186657

2022-04-29

B. RONALD LOPEZ, M.D., P.A.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

RON LOPEZ, M.D.P.A 401(K) PLAN

2020

650186657

2021-09-13

B. RONALD LOPEZ, M.D., P.A.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

RON LOPEZ, M.D.P.A 401(K) PLAN

2019

650186657

2020-10-12

B. RONALD LOPEZ, M.D., P.A.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

RON LOPEZ, M.D.P.A 401(K) PLAN

2018

650186657

2019-08-19

B. RONALD LOPEZ, M.D., P.A.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

RON LOPEZ, M.D.P.A 401(K) PLAN

2017

650186657

2018-10-15

B. RONALD LOPEZ, M.D., P.A.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

RON LOPEZ, M.D.P.A 401(K) PLAN

2016

650186657

2017-10-05

B. RONALD LOPEZ, M.D., P.A.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621112
Sponsor’s telephone number	7277720038
Plan sponsor’s address	2843 ALT. 19, PALM HARBOR, FL, 34693

Agent

Name	Role	Address
LOPEZ, B. RONALD	Agent	2843 ALTERNATE 19, PALM HARBOR, FL 34683

Director

Name	Role	Address
LOPEZ, B. RONALD	Director	2843 ALTERNATE 19, PALM HARBOR, FL 34683

Manager

Name	Role	Address
LOPEZ, B. RONALD	Manager	2843 ALTERNATE 19, PALM HARBOR, FL 34683

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT ADDRESS CHANGED	2003-03-03	2843 ALTERNATE 19, PALM HARBOR, FL 34683	No data
CHANGE OF PRINCIPAL ADDRESS	2001-02-15	2843 ALT 19, PALM HARBOR, FL 34683	No data
CHANGE OF MAILING ADDRESS	2001-02-15	2843 ALT 19, PALM HARBOR, FL 34683	No data

Documents

Name	Date
ANNUAL REPORT	2025-01-15
ANNUAL REPORT	2024-03-01
ANNUAL REPORT	2023-01-09
ANNUAL REPORT	2022-01-24
ANNUAL REPORT	2021-02-02
ANNUAL REPORT	2020-01-13
ANNUAL REPORT	2019-01-07
ANNUAL REPORT	2018-01-08
ANNUAL REPORT	2017-01-03
ANNUAL REPORT	2016-01-07
ANNUAL REPORT	2015-01-06
ANNUAL REPORT	2014-01-20
ANNUAL REPORT	2013-01-24
ANNUAL REPORT	2012-04-10
ANNUAL REPORT	2011-04-21
ANNUAL REPORT	2010-01-07
ANNUAL REPORT	2009-01-08
ANNUAL REPORT	2008-01-11
ANNUAL REPORT	2007-02-01
ANNUAL REPORT	2006-01-17

Date of last update: 03 Feb 2025

Sources: Florida Department of State