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  5. ROBERTO ECHARRI, MD, PA

ROBERTO ECHARRI, MD, PA

Company Details

Entity Name: ROBERTO ECHARRI, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jan 2003 (22 years ago)
Document Number: P03000009574
FEI/EIN Number 562315979
Address: 2000 SW 27TH. AVENUE, 203, MIAMI, FL, 33145
Mail Address: 6700 SW 47 Street, MIAMI, FL, 33155, US
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346292448 2006-05-17 2012-12-20 2000 SW 27TH AVE, SUITE 203, MIAMI, FL, 331452546, US 2000 SW 27TH AVE, SUITE 203, MIAMI, FL, 331452546, US

Contacts
Phone +1 786-621-9333
Fax 7866219334

Authorized person
Name DR. ROBERTO ECHARRI
Role PRESIDENT
Phone 7866219333

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME84825
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 265051700
State FL
Issuer MEDICAID
Number 265051701
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERTO ECHARRI MD PA 401K PSP 2019 562315979 2020-02-25 ROBERTO ECHARRI MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27 AVE. #203, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2020-02-25
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401K PSP 2018 562315979 2019-07-24 ROBERTO ECHARRI MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27 AVE. #203, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401K PSP 2017 562315979 2018-08-02 ROBERTO ECHARRI MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27 AVE. #203, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2018-08-02
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401K PSP 2016 562315979 2017-10-04 ROBERTO ECHARRI MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27 AVE. #203, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401K PSP 2015 562315979 2017-10-04 ROBERTO ECHARRI MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27 AVE. #203, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401(K) PROFIT SHARING PLAN 2014 562315979 2015-10-09 ROBERTO ECHARRI MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145
ROBERTO ECHARRI MD PA 401(K) PROFIT SHARING PLAN 2013 562315979 2014-08-08 ROBERTO ECHARRI MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145
ROBERTO ECHARRI MD PA 401(K) PROFIT SHARING PLAN 2012 562315979 2013-09-18 ROBERTO ECHARRI MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401(K) PROFIT SHARING PLAN 2011 562315979 2012-10-12 ROBERTO ECHARRI MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145

Plan administrator’s name and address
Administrator’s EIN 562315979
Plan administrator’s name ROBERTO ECHARRI MD PA
Plan administrator’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145
Administrator’s telephone number 7866219333

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
ROBERTO ECHARRI MD PA 401(K) PROFIT SHARING PLAN 2010 562315979 2011-10-15 ROBERTO ECHARRI MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7866219333
Plan sponsor’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145

Plan administrator’s name and address
Administrator’s EIN 562315979
Plan administrator’s name ROBERTO ECHARRI MD PA
Plan administrator’s address 2000 SW 27TH AVENUE, SUITE 203, MIAMI, FL, 33145
Administrator’s telephone number 7866219333

Signature of
Role Plan administrator
Date 2011-10-15
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-15
Name of individual signing ROBERTO ECHARRI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ECHARRI ROBERTO Agent 2000 SW 27TH. AVENUE, MIAMI, FL, 33145

President

Name Role Address
ECHARRI ROBERTO President 2000 SW 27 AVENUE SUITE 203, MIAMI, FL, 33145

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2014-01-22 2000 SW 27TH. AVENUE, 203, MIAMI, FL 33145 No data
REGISTERED AGENT ADDRESS CHANGED 2014-01-22 2000 SW 27TH. AVENUE, 203, MIAMI, FL 33145 No data
CHANGE OF PRINCIPAL ADDRESS 2004-01-29 2000 SW 27TH. AVENUE, 203, MIAMI, FL 33145 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-02-23

Related by officers

ECHARRI ROBERTO

RANDOM TARGETS, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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