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ALAN D. FELDMAN, M.D., P.A.

Company Details

Entity Name: ALAN D. FELDMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Sep 2002 (22 years ago)
Document Number: P02000095195
FEI/EIN Number 043710580
Address: 10333 SEMINOLES BLVD, SUITE 3, LARGO, FL, 33778-4204
Mail Address: 10333 SEMINOLES BLVD, SUITE 3, LARGO, FL, 33778-4204
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972797363 2007-08-29 2023-03-07 10333 SEMINOLE BLVD, SUITE # 3, LARGO, FL, 337784210, US 10333 SEMINOLE BLVD, SUITE # 3, LARGO, FL, 337784210, US

Contacts
Phone +1 727-392-0199
Fax 7273921399

Authorized person
Name MRS. DORA R. WISNIEWSKI
Role OFFICE COORDINATOR
Phone 7273926200

Taxonomy
Taxonomy Code 2084P0800X - Psychiatry Physician
License Number ME73928
State FL
Is Primary Yes

Other Provider Identifiers
Issuer M.D LICENSE
Number ME73928
State FL
Issuer MEDICAID
Number 259478100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALAN D. FELDMAN M. D. P. A. 401(K) PROFIT SHARING PLAN 2023 043710580 2024-09-18 ALAN D. FELDMAN M.D. P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778
ALAN D. FELDMAN M. D. P. A. 401(K) PROFIT SHARING PLAN 2022 043710580 2023-10-10 ALAN D. FELDMAN M.D. P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. 401(K) PROFIT SHARING PLAN 2021 043710580 2022-10-04 ALAN D. FELDMAN M.D. P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. 401(K) PROFIT SHARING PLAN 2020 043710580 2021-09-02 ALAN D. FELDMAN M.D. P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. PROFIT SHARING PLAN 2019 043710580 2020-09-25 ALAN D. FELDMAN M.D. P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2020-09-25
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. PROFIT SHARING PLAN 2018 043710580 2019-07-23 ALAN D. FELDMAN M.D. P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. PROFIT SHARING PLAN 2017 043710580 2018-10-11 ALAN D. FELDMAN M.D. P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. PROFIT SHARING PLAN 2016 043710580 2017-10-11 ALAN D. FELDMAN M.D. P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. PROFIT SHARING PLAN 2015 043710580 2016-07-08 ALAN D. FELDMAN M.D. P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature
ALAN D. FELDMAN M. D. P. A. PROFIT SHARING PLAN 2014 043710580 2015-07-06 ALAN D. FELDMAN M.D. P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621112
Sponsor’s telephone number 7273920199
Plan sponsor’s address 10333 SEMINOLE BOULEVARD, SUITE 3, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing ALAN FELDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAYMOND J. PAUL Agent 625 COURT STREET, CLEARWATER, FL, 33756

President

Name Role Address
FELDMAN ALAN DDr. President 10333 SEMINOLES BLVD, LARGO, FL, 337784204

Director

Name Role Address
RAYMOND J. PAUL Director 400 CLEVELAND STREET STE 900, CLEARWATER, FL, 34615

Secretary

Name Role Address
RAYMOND J. PAUL Secretary 400 CLEVELAND STREET STE 900, CLEARWATER, FL, 34615

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-02-27 625 COURT STREET, STE 200, CLEARWATER, FL 33756 No data
CHANGE OF PRINCIPAL ADDRESS 2008-01-28 10333 SEMINOLES BLVD, SUITE 3, LARGO, FL 33778-4204 No data
CHANGE OF MAILING ADDRESS 2008-01-28 10333 SEMINOLES BLVD, SUITE 3, LARGO, FL 33778-4204 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-03-05

Related by officers

FELDMAN ALAN DDr.

COMPASSIONATE CARE PROFESSIONALS, LLC

RAYMOND J. PAUL

SHIRLEY INVESTMENT PROPERTIES, LLC PROBLEM ASSET MANAGEMENT GROUP, LLC HYDREX, LLC BROWN MANATEE INVESTMENT, LLC PORT MANATEE INDUSTRIAL PARK, LLC BUCKEYE INDUSTRIAL PARK ASSOCIATION, INC. MINING SERVICES HOLDINGS, LLC COLOMBIAN MINING SERVICES, LLC GRAND BROWN MANATEE, LLC THE OAKS AT LAKEVIEW CONDOMINIUM ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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