Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lee
    4. ›
  4. 33912
    5. ›
  5. DANIEL BENDETOWICZ, M.D., P.A.

DANIEL BENDETOWICZ, M.D., P.A.

Company Details

Entity Name: DANIEL BENDETOWICZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 May 2004 (21 years ago)
Document Number: P04000081282
FEI/EIN Number 201160828
Address: 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912, US
Mail Address: 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912, US
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174645717 2007-04-04 2018-03-17 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 339127161, US 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 339127161, US

Contacts
Phone +1 239-985-1050
Fax 2399851060

Authorized person
Name DR. DANIEL BENDETOWICZ
Role PRESIDENT
Phone 2399851050

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME75758
State FL
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD PROVIDER NUMBER
Number DB9873
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2023 201160828 2024-05-01 DANIEL BENDETOWICZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2022 201160828 2023-05-17 DANIEL BENDETOWICZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2021 201160828 2022-05-11 DANIEL BENDETOWICZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2020 201160828 2021-03-12 DANIEL BENDETOWICZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2019 201160828 2020-02-20 DANIEL BENDETOWICZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2018 201160828 2019-02-07 DANIEL BENDETOWICZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2017 201160828 2018-04-03 DANIEL BENDETOWICZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2016 201160828 2017-04-21 DANIEL BENDETOWICZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 15750 NEW HAMPSHIRE COURT, SUITE D, FORT MYERS, FL, 33908

Signature of
Role Plan administrator
Date 2017-04-21
Name of individual signing DANIEL BENDETOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2015 201160828 2016-04-04 DANIEL BENDETOWICZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 15750 NEW HAMPSHIRE COURT, SUITE D, FORT MYERS, FL, 33908

Signature of
Role Plan administrator
Date 2016-04-04
Name of individual signing DANIEL BENDETOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
DANIEL BENDETOWICZ, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2014 201160828 2015-04-27 DANIEL BENDETOWICZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2399851050
Plan sponsor’s address 15750 NEW HAMPSHIRE COURT, SUITE D, FORT MYERS, FL, 33908

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing DANIEL BENDETOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BENDETOWICZ DANIEL Agent 6840 INTERNATIONAL CENTER BOULEVARD, FORT MYERS, FL, 33912

President

Name Role Address
BENDETOWICZ DANIEL President 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912

Director

Name Role Address
BENDETOWICZ DANIEL Director 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912

Secretary

Name Role Address
BENDETOWICZ DANIEL Secretary 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912

Treasurer

Name Role Address
BENDETOWICZ DANIEL Treasurer 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-08-23 6840 INTERNATIONAL CENTER BOULEVARD, FORT MYERS, FL 33912 No data
CHANGE OF PRINCIPAL ADDRESS 2017-06-27 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL 33912 No data
CHANGE OF MAILING ADDRESS 2017-06-27 6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL 33912 No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-11
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-01-11
Reg. Agent Change 2017-08-23
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-01-18

Related by officers

No related officers

Related by address

6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912, US

LISA BENDETOWICZ LCSW, LLC

6840 INTERNATIONAL CENTER BLVD, FORT MYERS, FL, 33912, US

LISA BENDETOWICZ LCSW, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated