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  5. ROBERT D. SIMON, M.D., P.A.

ROBERT D. SIMON, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: ROBERT D. SIMON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ROBERT D. SIMON, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 06 Apr 2001 (24 years ago)
Date of dissolution: 27 Apr 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 Apr 2017 (8 years ago)
Document Number: P01000035358
FEI/EIN Number 651096794

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 701 NORTHLAKE BLVD., NORTH PALM BEACH, FL, 33408, US
Mail Address: 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL, 33408, US
ZIP code: 33408
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275665010 2007-03-09 2020-08-22 701 NORTHLAKE BLVD, SUITE 208, NORTH PALM BEACH, FL, 334085215, US 701 NORTHLAKE BLVD, SUITE 208, NORTH PALM BEACH, FL, 334085215, US

Contacts
Phone +1 561-845-7078
Fax 5618478030

Authorized person
Name DR. ROBERT DANIEL SIMON
Role OWNER
Phone 5618457078

Taxonomy
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 651096794 2016-10-11 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 701 NORTHLAKE BOULEVRD , SUITE 201, PALM BEACH GARDENS, FL, 334121631

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 651096794 2015-10-15 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 8381 WOODSMUIR DRIVE, PALM BEACH GARDENS, FL, 334121631

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing ROBERT D. SIMON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing ROBERT D. SIMON, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 651096794 2014-10-15 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2012 651096794 2013-12-24 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215

Signature of
Role Plan administrator
Date 2013-12-24
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-24
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2011 651096794 2013-01-09 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215

Plan administrator’s name and address
Administrator’s EIN 651096794
Plan administrator’s name ROBERT D. SIMON, M.D., P.A.
Plan administrator’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215
Administrator’s telephone number 5618457078

Signature of
Role Plan administrator
Date 2013-01-09
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-09
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2010 651096794 2011-10-17 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215

Plan administrator’s name and address
Administrator’s EIN 651096794
Plan administrator’s name ROBERT D. SIMON, M.D., P.A.
Plan administrator’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215
Administrator’s telephone number 5618457078

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
ROBERT D. SIMON, M.D., P.A., 401(K) PROFIT SHARING PLAN 2009 651096794 2010-10-15 ROBERT D. SIMON, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618457078
Plan sponsor’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215

Plan administrator’s name and address
Administrator’s EIN 651096794
Plan administrator’s name ROBERT D. SIMON, M.D., P.A.
Plan administrator’s address 701 NORTHLAKE BOULEVARD, #208, NORTH PALM BEACH, FL, 334085215
Administrator’s telephone number 5618457078

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SIMON ROBERT D President 701 NORTHLAKE BLVD., NORTH PALM BEACH, FL, 33408
SIMON ROBERT D Agent 701 NORTHLAKE BLVD., NORTH PALM BEACH, FL, 33408

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-04-27 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-15 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL 33408 -
CHANGE OF MAILING ADDRESS 2014-04-15 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL 33408 -
REGISTERED AGENT ADDRESS CHANGED 2014-04-15 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL 33408 -
CANCEL ADM DISS/REV 2010-01-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
REGISTERED AGENT NAME CHANGED 2006-02-03 SIMON, ROBERT DPRES -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10000914835 LAPSED 1000000184962 PALM BEACH 2010-08-19 2020-09-15 $ 971.90 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-02-09
ANNUAL REPORT 2014-04-15
ANNUAL REPORT 2013-01-14
ANNUAL REPORT 2012-04-27
ANNUAL REPORT 2011-04-29
REINSTATEMENT 2010-01-25
ANNUAL REPORT 2008-02-29
ANNUAL REPORT 2007-02-07
ANNUAL REPORT 2006-02-03

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Companies related by address

No other companies in our directory share the same address as ROBERT D. SIMON, M.D., P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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