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DOCTORS PLUS MEDICAL CENTER, INC.

Company Details

Entity Name: DOCTORS PLUS MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Jun 2004 (21 years ago)
Document Number: P04000088413
FEI/EIN Number 13-4281815
Address: 501 NW 179 AVENUE, PEMBROKE PINES, FL 33029
Mail Address: 501 NW 179 AVENUE, PEMBROKE PINES, FL 33029
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578691218 2007-03-02 2012-11-08 501 NW 179TH AVE, PEMBROKE PINES, FL, 330292807, US 501 NW 179TH AVE, PEMBROKE PINES, FL, 330292807, US

Contacts

Phone +1 954-442-2828
Fax 9544423366

Authorized person

Name HEIDI WONG
Role CHIEF EXECUTIVEOFFICER
Phone 9544422828

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME62898
State FL
Is Primary Yes

Other Provider Identifiers

Issuer DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QALITY ASSURANCE
Number 602678
State FL
Issuer MEDICAID
Number 251887200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOCTORS PLUS 401K 2019 134281815 2020-07-01 DOCTORS PLUS MEDICAL CENTER, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address 501 NW 179TH AVE, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2020-07-01
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2018 134281815 2019-06-21 DOCTORS PLUS MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address 501 NW 179TH AVE, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2019-06-21
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2017 134281815 2018-06-12 DOCTORS PLUS MEDICAL CENTER, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address 501 NW 179TH AVE, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2018-06-12
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2016 134281815 2018-01-04 DOCTORS PLUS MEDICAL CENTER, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address 501 NW 179TH AVE,, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2018-01-04
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2016 134281815 2017-12-02 DOCTORS PLUS MEDICAL CENTER, INC 8
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address 501 NW 179TH AVE,, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2017-12-02
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2015 134281815 2016-09-19 DOCTORS PLUS MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address 501 NW 179TH AVE, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2016-09-19
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2014 134281815 2016-09-09 DOCTORS PLUS MEDICAL CENTER, INC 12
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address NW 179TH AVE, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2016-09-09
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature
DOCTORS PLUS 401K 2014 134281815 2016-09-12 DOCTORS PLUS MEDICAL CENTER, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 9544422828
Plan sponsor’s address NW 179TH AVE, PEMBROKE PINES, FL, 33029

Signature of

Role Plan administrator
Date 2016-09-12
Name of individual signing HEILDI WONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WONG, ANTONIO Agent 501 NW 179TH AVE, PEMBROKE PINES, FL 33029

President

Name Role Address
WONG, ANTONIO H President 501 NW 179 AVENUE, PEMBROKE PINES, FL 33029

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2007-08-14 WONG, ANTONIO No data
REGISTERED AGENT ADDRESS CHANGED 2006-05-01 501 NW 179TH AVE, PEMBROKE PINES, FL 33029 No data

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-03-25
ANNUAL REPORT 2022-08-28
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-03-18

Date of last update: 05 Jan 2025

Sources: Florida Department of State