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  5. MANUEL V. MENDEZ, M.D., P.A.

MANUEL V. MENDEZ, M.D., P.A.

Company Details

Entity Name: MANUEL V. MENDEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Dec 2001 (23 years ago)
Date of dissolution: 03 Mar 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 03 Mar 2021 (4 years ago)
Document Number: P01000114581
FEI/EIN Number 651156638
Address: 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL, 33407
Mail Address: 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL, 33407
ZIP code: 33407
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891847109 2007-01-17 2020-08-22 1620 N DIXIE HWY, WEST PALM BEACH, FL, 334076502, US 1620 N DIXIE HWY, WEST PALM BEACH, FL, 334076502, US

Contacts
Phone +1 561-833-0770
Fax 5616594830

Authorized person
Name MANUEL V MENDEZ
Role OWNER
Phone 5618330770

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number ME79234
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2021 651156638 2022-10-12 MANUEL V. MENDEZ, M.D. P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2021 651156638 2022-10-14 MANUEL V. MENDEZ, M.D. P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2020 651156638 2021-10-15 MANUEL V. MENDEZ, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2019 651156638 2020-08-03 MANUEL V. MENDEZ, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2018 651156638 2019-08-01 MANUEL V. MENDEZ, M.D. P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2018 651156638 2019-07-15 MANUEL V. MENDEZ, M.D. P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2017 651156638 2018-06-05 MANUEL V. MENDEZ, M.D. P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., P.A., 401(K) PROFIT SHARING PLAN & TRUST 2016 651156638 2017-07-13 MANUEL V. MENDEZ, M.D. P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., PA 401(K) PROFIT SHARING PLAN & TRUST 2015 651156638 2016-10-12 MANUEL V. MENDEZ, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407
MANUEL V. MENDEZ, M.D., PA 401(K) PROFIT SHARING PLAN & TRUST 2014 651156638 2015-05-12 MANUEL V. MENDEZ, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 5618330770
Plan sponsor’s address 1620 N. DIXIE HIGHWAY, WEST PALM BEACH, FL, 33407

Agent

Name Role Address
MENDEZ MANUEL V Agent 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL, 33407

Director

Name Role Address
MENDEZ MANUEL V Director 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL, 33407

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-03-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 2007-03-28 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL 33407 No data
CHANGE OF MAILING ADDRESS 2007-03-28 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL 33407 No data
REGISTERED AGENT ADDRESS CHANGED 2006-11-02 1620 NORTH DIXIE HWY, WEST PALM BEACH, FL 33407 No data
REGISTERED AGENT NAME CHANGED 2002-05-06 MENDEZ, MANUEL VMD No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-03-03
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-06-18
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-04-14
ANNUAL REPORT 2014-02-27
ANNUAL REPORT 2013-04-02
ANNUAL REPORT 2012-04-02

Related by officers

MENDEZ MANUEL V

ROYAL PALM BEACH RIPTIDE, INC. EL CAMINO REAL, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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