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  5. YANINA ABAUNZA-FIALLOS, M.D., P.A.

YANINA ABAUNZA-FIALLOS, M.D., P.A.

Company Details

Entity Name: YANINA ABAUNZA-FIALLOS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Oct 2003 (21 years ago)
Document Number: P03000112462
FEI/EIN Number 542128983
Address: 17541 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548, US
Mail Address: 17541 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548, US
ZIP code: 33548
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
YANINA ABAUNZA-FIALLOS, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 542128983 2012-02-10 YANINA ABAUNZA-FIALLOS, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8139641822
Plan sponsor’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 542128983
Plan administrator’s name YANINA ABAUNZA-FIALLOS, M.D., P.A.
Plan administrator’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
Administrator’s telephone number 8139641822

Signature of
Role Plan administrator
Date 2012-02-10
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature
YANINA ABAUNZA-FIALLOS, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 542128983 2011-06-10 YANINA ABAUNZA-FIALLOS, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8139641822
Plan sponsor’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 542128983
Plan administrator’s name YANINA ABAUNZA-FIALLOS, M.D., P.A.
Plan administrator’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
Administrator’s telephone number 8139641822

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature
YANINA ABAUNZA-FIALLOS, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 542128983 2010-10-20 YANINA ABAUNZA-FIALLOS, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8139641822
Plan sponsor’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 542128983
Plan administrator’s name YANINA ABAUNZA-FIALLOS, M.D., P.A.
Plan administrator’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
Administrator’s telephone number 8139641822

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing YANINA ABAUNZA-FIALLOS
Valid signature Filed with authorized/valid electronic signature
YANINA ABAUNZA-FIALLOS, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 542128983 2010-10-15 YANINA ABAUNZA-FIALLOS, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8139641822
Plan sponsor’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 542128983
Plan administrator’s name YANINA ABAUNZA-FIALLOS, M.D., P.A.
Plan administrator’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
Administrator’s telephone number 8139641822

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing YANINA ABAUNZA-FIALLOS
Valid signature Filed with incorrect/unrecognized electronic signature
YANINA ABAUNZA-FIALLOS, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 542128983 2010-10-19 YANINA ABAUNZA-FIALLOS, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8139641822
Plan sponsor’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 542128983
Plan administrator’s name YANINA ABAUNZA-FIALLOS, M.D., P.A.
Plan administrator’s address 18572 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
Administrator’s telephone number 8139641822

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing YANINA ABAUNZA-FIALLOS
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Fiallos Mariano R Agent 18102 Regents Square Dr, Tampa, FL, 33647

Director

Name Role Address
Pillai AnanthakrishnaM.D. Director 17541 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000056225 STARS PEDIATRICS - LUTZ ACTIVE 2024-04-29 2029-12-31 No data 17541 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548
G20000129222 DR NINA'S PEDIATRICS ACTIVE 2020-10-05 2025-12-31 No data 17541 N. DALE MABRY HWY, LUTZ, FL, 33548

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-23 17541 NORTH DALE MABRY HIGHWAY, LUTZ, FL 33548 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-06 18102 Regents Square Dr, Tampa, FL 33647 No data
REGISTERED AGENT NAME CHANGED 2019-04-16 Fiallos, Mariano R No data
CHANGE OF PRINCIPAL ADDRESS 2014-06-30 17541 NORTH DALE MABRY HIGHWAY, LUTZ, FL 33548 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-24
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-13
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-14

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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