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  5. KENNETH S. JAFFE, M.D. P.A.

KENNETH S. JAFFE, M.D. P.A. - Florida Company Profile

Company Details

Entity Name: KENNETH S. JAFFE, M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

KENNETH S. JAFFE, M.D. P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 19 Oct 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 17 Oct 2005 (20 years ago)
Document Number: P00000099059
FEI/EIN Number 651050544

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 130 JFK DRIVE, #134, ATLANTIS, FL, 33462
Mail Address: 130 JFK DRIVE, #134, ATLANTIS, FL, 33462
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518210814 2012-10-24 2012-10-24 130 JOHN F KENNEDY DR, SUITE 134, ATLANTIS, FL, 334621141, US 7138 LAKE WORTH RD, LAKE WORTH, FL, 334672970, US

Contacts
Phone +1 561-439-0308
Fax 5614390371

Authorized person
Name DR. KENNETH SCOTT JAFFE
Role PRESIDENT
Phone 5614390308

Taxonomy
Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 260146000
State FL
Issuer BCBSFL
Number 97340
State FL
Issuer AVMED
Number 269348
State FL
Issuer RAILROAD MEDICARE
Number 110233181
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH S. JAFFE M. D. , P. A. 401 (K) PLAN 2023 651050544 2024-09-25 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 JFK DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-25
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2022 651050544 2023-08-07 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2023-08-07
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2021 651050544 2022-09-13 KENNETH S. JAFFE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2020 651050544 2021-08-11 KENNETH S. JAFFE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2021-08-11
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2019 651050544 2020-08-19 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2020-08-19
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2018 651050544 2019-04-04 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2019-04-04
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2017 651050544 2018-06-26 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2016 651050544 2017-04-07 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2017-04-07
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2015 651050544 2016-04-20 KENNETH S. JAFFE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2016-04-20
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature
KENNETH S. JAFFE M.D., P.A. 401(K) PLAN 2014 651050544 2015-07-07 KENNETH S. JAFFE, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614390308
Plan sponsor’s address 130 J.F.K. DRIVE, SUITE 134, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing KENNETH JAFFE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
JAFFE KENNETH S Director 130 JFK DRIVE SUITE 134, ATLANTIS, FL, 33462
COHEN EARL Agent 851 N. DONNELLY ST., MT. DORA, FL, 32757

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-04-10 851 N. DONNELLY ST., 5, MT. DORA, FL 32757 -
CHANGE OF PRINCIPAL ADDRESS 2008-04-04 130 JFK DRIVE, #134, ATLANTIS, FL 33462 -
CHANGE OF MAILING ADDRESS 2008-04-04 130 JFK DRIVE, #134, ATLANTIS, FL 33462 -
CANCEL ADM DISS/REV 2005-10-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
REGISTERED AGENT NAME CHANGED 2003-01-29 COHEN, EARL -

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-05-28
ANNUAL REPORT 2019-04-13
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-15
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-14

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4-A-PIP-MD LLC - Inactive
Florida Limited Liability Co. (2012 - 2013)
BR KENZO, LLC - Inactive
Florida Limited Liability Co. (2008 - 2012)
REGEN+ COSMETIC LASER & ANTI-AGING CENTER, LLC - Inactive
Florida Limited Liability Co. (2017 - 2018)

COHEN EARL

SHEKINAH INTERNATIONAL MINISTRIES INC. - Active
Domestic Non-Profit (2005 )
SHEKINAH INTERNATIONAL MINISTRIES INC. - Active
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DYESS INSURANCE SERVICES, INC. - Active
Domestic Profit (2011 )
A PAIN CLINIC OF DELRAY LLC - Active
Florida Limited Liability Co. (2012 )
MASCAREEN COHEN INTERNATIONAL MINISTRIES, INC. - Active
Domestic Non-Profit (2005 )
MASCAREEN COHEN INTERNATIONAL MINISTRIES, INC. - Active
Domestic Non-Profit (2005 )
COHEN BROS AUTOMOTIVE & MACHINERY LLC - Inactive
Florida Limited Liability Co. (2020 - 2024)
DAGAN CAPITAL, LLC. - Inactive
Florida Limited Liability Co. (2010 - 2011)

Companies related by address

No other companies in our directory share the same address as KENNETH S. JAFFE, M.D. P.A.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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