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  5. KENNETH O. KARP, MD, PA

KENNETH O. KARP, MD, PA

Company Details

Entity Name: KENNETH O. KARP, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Jul 2003 (22 years ago)
Document Number: P03000080940
FEI/EIN Number 200112151
Address: 1951 SW 172ND AVE., #304, MIRAMAR, FL, 33029, US
Mail Address: 1951 SW 172 Ave, Miramar, FL, 33029, US
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972556892 2006-05-19 2011-03-18 1951 SW 172 AVE., 304, MIRAMAR, FL, 33029, US 1951 SW 172 AVE., 304, MIRAMAR, FL, 33029, US

Contacts
Phone +1 954-437-4316
Fax 9544374352

Authorized person
Name DR. KENNETH O. KARP
Role PRESIDENT
Phone 9544374316

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 259737302
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH O KARP, MD, PA 401K PLAN 2023 200112151 2024-04-24 KENNETH O KARP, MD, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029
KENNETH O KARP, MD, PA 401K PLAN 2022 200112151 2023-03-29 KENNETH O KARP, MD, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029
KENNETH O KARP, MD, PA 401K PLAN 2021 200112151 2022-03-02 KENNETH O KARP, MD, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029
KENNETH O KARP, MD, PA 401K PLAN 2020 200112151 2021-03-26 KENNETH O KARP, MD, PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029
KENNETH O KARP, MD, PA 401K PLAN 2019 200112151 2020-02-11 KENNETH O KARP, MD, PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029
KENNETH O KARP, MD, PA 401K PLAN 2018 200112151 2019-02-05 KENNETH O KARP, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029
KENNETH O KARP, MD, PA 401K PLAN 2017 200112151 2018-02-21 KENNETH O KARP, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9544374316
Plan sponsor’s address 1951 SW 172ND AVE #304, MIRAMAR, FL, 33029

Agent

Name Role Address
KARP KENNETH O Agent 1951 SW 172 Ave, Miramar, FL, 33029

Director

Name Role Address
KARP KENNETH O Director 1951 SW 172 Ave, Miramar, FL, 33029

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G05224700026 MIRAMAR EYE INSTITUTE ACTIVE 2005-08-12 2025-12-31 No data 1951 SW 172ND AVENUE, 304, MIRAMAR, FL, 33029

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-04-07 1951 SW 172ND AVE., #304, MIRAMAR, FL 33029 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-07 1951 SW 172 Ave, #304, Miramar, FL 33029 No data
REGISTERED AGENT NAME CHANGED 2016-05-11 KARP, KENNETH O No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-21 1951 SW 172ND AVE., #304, MIRAMAR, FL 33029 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-07-19
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-01-17
AMENDED ANNUAL REPORT 2016-05-11
ANNUAL REPORT 2016-01-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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