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  5. CLAYTON M. BERGER, M.D., P.A.

CLAYTON M. BERGER, M.D., P.A.

Company Details

Entity Name: CLAYTON M. BERGER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Dec 1989 (35 years ago)
Document Number: L39929
FEI/EIN Number 65-0163040
Address: 6207 nw 120th dr, coral springs, FL 33076
Mail Address: 6207 nw 120th dr, coral springs, FL 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871891739 2011-03-02 2011-03-02 201 SE 14TH ST, FORT LAUDERDALE, FL, 333161827, US 201 SE 14TH ST, FORT LAUDERDALE, FL, 333161827, US

Contacts
Phone +1 954-525-1111
Fax 9545225588

Authorized person
Name DR. CLAYTON M BERGER
Role PRESIDENT
Phone 9545251111

Taxonomy
Taxonomy Code 156FX1100X - Ophthalmic Technician/Technologist
License Number ME0051926
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2023 650163040 2024-07-23 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 6207 NW 120 DRIVE, CORAL SPRINGS, FL, 33076
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2022 650163040 2023-07-22 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 6207 NW 120 DRIVE, CORAL SPRINGS, FL, 33076
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2021 650163040 2022-10-14 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 SE 14TH STREET, FORT LAUDERDALE, FL, 33316
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2020 650163040 2021-10-02 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 SE 14TH STREET, FORT LAUDERDALE, FL, 33316
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2019 650163040 2020-09-23 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 S.E. 14TH STREET, FORT LAUDERDALE, FL, 33316
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2018 650163040 2019-10-12 CLAYTON M. BERGER, M.D., P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 S.E. 14TH STREET, FORT LAUDERDALE, FL, 33316
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2017 650163040 2018-10-04 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 S.E. 14TH STREET, FORT LAUDERDALE, FL, 33316
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2016 650163040 2017-07-25 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 S.E. 14TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing DR. CLAYTON BERGER
Valid signature Filed with authorized/valid electronic signature
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2015 650163040 2016-08-26 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 S.E. 14TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2016-08-26
Name of individual signing DR. CLAYTON BERGER
Valid signature Filed with authorized/valid electronic signature
CLAYTON M. BERGER, M. D. , P. A. PROFIT SHARING PLAN 2014 650163040 2015-07-27 CLAYTON M. BERGER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9545251111
Plan sponsor’s address 201 S.E. 14TH STREET, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DR. CLAYTON BERGER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLAYTON, M. BERGER DR. Agent 201 SE 14TH STREET, FORT LAUDERDALE, FL 33316

President

Name Role Address
Berger, Clayton M, Dr. President 201 SE 14TH STREET, FORT LAUDERDALE, FL

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G92024900009 BROWARD EYE CENTER ACTIVE 1992-01-24 2028-12-31 No data 6207 NW 120TH DR, CORAL SPRINGS, FL, 33076, US

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-17 6207 nw 120th dr, coral springs, FL 33076 No data
CHANGE OF MAILING ADDRESS 2024-01-17 6207 nw 120th dr, coral springs, FL 33076 No data
REGISTERED AGENT ADDRESS CHANGED 1991-02-15 201 SE 14TH STREET, FORT LAUDERDALE, FL 33316 No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-03-13
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-02-24
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-02-18
ANNUAL REPORT 2015-01-21

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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