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  5. ENRIQUE LOPEZ-MOSCOSO, M.D., P.A.

ENRIQUE LOPEZ-MOSCOSO, M.D., P.A.

Company Details

Entity Name: ENRIQUE LOPEZ-MOSCOSO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 22 Feb 1985 (40 years ago)
Date of dissolution: 09 Oct 1992 (32 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 09 Oct 1992 (32 years ago)
Document Number: M11725
FEI/EIN Number 59-2501659
Address: 990 SOUTH CONGRESS AVE., DELRAY BEACH, FL 33445
Mail Address: 990 SOUTH CONGRESS AVE., DELRAY BEACH, FL 33445
ZIP code: 33445
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134477987 2012-08-28 2012-08-28 601 N CONGRESS AVE, SUITE 403, DELRAY BEACH, FL, 334454703, US 601 N CONGRESS AVE, SUITE 403, DELRAY BEACH, FL, 334454703, US

Contacts
Phone +1 561-272-1618
Fax 5612722800

Authorized person
Name ENRIQUE LOPEZ-MOSCOSO
Role OWNER
Phone 5612721618

Taxonomy
Taxonomy Code 208D00000X - General Practice Physician
License Number ME0037569
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. DEFINED BENEFIT PLAN 2017 650904144 2018-09-13 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612722618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 401(K) & PROFIT SHARING PLAN 2017 650904144 2018-07-10 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612721618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 401(K) & PROFIT SHARING PLAN 2017 650904144 2018-07-12 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612721618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. DEFINED BENEFIT PLAN 2017 650904144 2018-09-13 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612721618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 401(K) & PROFIT SHARING PLAN 2017 650904144 2018-07-10 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 1
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612721618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 401(K) & PROFIT SHARING PLAN 2016 650904144 2017-10-05 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612722618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. DEFINED BENEFIT PLAN 2016 650904144 2017-11-28 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612722618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. DEFINED BENEFIT PLAN 2015 650904144 2016-09-20 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612722618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 401(K) & PROFIT SHARING PLAN 2015 650904144 2016-09-20 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612722618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445
ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 401(K) & PROFIT SHARING PLAN 2014 650904144 2015-04-30 ENRIQUE LOPEZ-MOSCOSO, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612722618
Plan sponsor’s address 601 NORTH CONGRESS AVE., STE. 403, DELRAY BEACH, FL, 33445

Agent

Name Role Address
LOPEZ, ENRIQUE Agent 990 S. CONGRESS AVE., DELRAY BCH., FL 33445

Director

Name Role Address
LOPEZ, ENRIQUE, M.D. Director 4422 WOODFIELD BLVD., BOCA RATON, FL

Manager

Name Role Address
LOPEZ, VESNA Manager 4422 WOODFIELD BLVD., BOCA RATON, FL

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1992-10-09 No data No data
REGISTERED AGENT NAME CHANGED 1990-03-06 LOPEZ, ENRIQUE No data
REGISTERED AGENT ADDRESS CHANGED 1990-03-06 990 S. CONGRESS AVE., DELRAY BCH., FL 33445 No data

Related by officers

LOPEZ, ENRIQUE

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Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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