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HECKER DERMATOLOGY GROUP, P.A.

Company Details

Entity Name: HECKER DERMATOLOGY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jul 2000 (25 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Sep 2015 (9 years ago)
Document Number: P00000072404
FEI/EIN Number 651027652
Address: 3500 NE 5TH AVE, POMPANO BEACH, FL, 33064
Mail Address: 3500 NE 5TH AVE, POMPANO BEACH, FL, 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750552907 2008-03-17 2010-04-20 3500 NE 5TH AVE, POMPANO BEACH, FL, 33064, US 3500 NE 5TH AVE, POMPANO BEACH, FL, 330644445, US

Contacts

Phone +1 954-783-2323
Fax 9547832321

Authorized person

Name MELANIE SCHWARTZ HECKER
Role DIRECTOR
Phone 9547832323

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME79381
State FL
Is Primary Yes

Other Provider Identifiers

Issuer PTAN
Number K2357A
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HECKER DERMATOLOGY GROUP, P.A. 401K PROFIT SHARING PLAN TRUST 2023 651027652 2024-09-12 HECKER DERMATOLOGY GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9547832323
Plan sponsor’s address 3500 NE 5TH AVE, POMPANO, FL, 33064

Signature of

Role Plan administrator
Date 2024-09-12
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
HECKER DERMATOLOGY GROUP, P.A. 401K PROFIT SHARING PLAN TRUST 2022 651027652 2023-09-13 HECKER DERMATOLOGY GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9547832323
Plan sponsor’s address 3500 NE 5TH AVE, POMPANO, FL, 33064

Signature of

Role Plan administrator
Date 2023-09-13
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
HECKER DERMATOLOGY GROUP, P.A. 401K PROFIT SHARING PLAN TRUST 2021 651027652 2022-09-22 HECKER DERMATOLOGY GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9547832323
Plan sponsor’s address 3500 NE 5TH AVE, POMPANO, FL, 33064

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
HECKER DERMATOLOGY GROUP, P.A. 401K PROFIT SHARING PLAN TRUST 2020 651027652 2021-07-20 HECKER DERMATOLOGY GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9547832323
Plan sponsor’s address 3500 NE 5TH AVE, POMPANO, FL, 33064

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
HECKER DERMATOLOGY GROUP, P.A. 401K PROFIT SHARING PLAN TRUST 2019 651027652 2020-06-03 HECKER DERMATOLOGY GROUP, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9547832323
Plan sponsor’s address 3500 NE 5TH AVE, POMPANO, FL, 33064

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HECKER MELANIE S Agent 3500 NE 5TH AVE, POMPANO BEACH, FL, 33064

President

Name Role Address
HECKER MELANIE S President 3500 NE 5TH AVE, POMPANO BEACH, FL, 33064

Events

Event Type Filed Date Value Description
REINSTATEMENT 2015-09-29 No data No data
REGISTERED AGENT NAME CHANGED 2015-09-29 HECKER, MELANIE SMD No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-04-20 3500 NE 5TH AVE, POMPANO BEACH, FL 33064 No data
CHANGE OF MAILING ADDRESS 2005-04-20 3500 NE 5TH AVE, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT ADDRESS CHANGED 2005-04-20 3500 NE 5TH AVE, POMPANO BEACH, FL 33064 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-22
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-26
REINSTATEMENT 2015-09-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State