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  5. DOUGLAS B. PAONE, M.D., P.A.

DOUGLAS B. PAONE, M.D., P.A.

Company Details

Entity Name: DOUGLAS B. PAONE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jun 2004 (21 years ago)
Document Number: P04000090698
FEI/EIN Number 043792611
Address: 671 Goodlette RD N, STE 200, Naples, FL, 34102, US
Mail Address: 671 Goodlette RD N, STE 200, Naples, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578669347 2006-09-16 2021-07-26 671 GOODLETTE RD STE 200, NAPLES, FL, 341025615, US 671 GOODLETTE RD STE 200, NAPLES, FL, 341025615, US

Contacts
Phone +1 239-263-2808
Fax 2392632907

Authorized person
Name DEE MCLAUGHLIN
Role OFFICE MANAGER
Phone 2392632808

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME83655
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2017 043792611 2018-09-20 DOUGLAS B. PAONE, 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 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102
DOUGLAS B. PAONE, M. D. , P. A. 401(K) PROFIT SHARING PLAN & TRUST 2017 043792611 2018-09-20 DOUGLAS B. PAONE, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2016 043792611 2017-10-05 DOUGLAS B. PAONE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2015 043792611 2016-10-06 DOUGLAS B. PAONE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2014 043792611 2015-10-09 DOUGLAS B. PAONE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2013 043792611 2014-09-18 DOUGLAS B. PAONE, 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 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2014-09-18
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-18
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2012 043792611 2013-10-02 DOUGLAS B. PAONE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2011 043792611 2012-10-08 DOUGLAS B. PAONE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102

Plan administrator’s name and address
Administrator’s EIN 043792611
Plan administrator’s name DOUGLAS B. PAONE, M.D., P.A.
Plan administrator’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102
Administrator’s telephone number 2392632808

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
DOUGLAS B. PAONE, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2010 043792611 2011-10-11 DOUGLAS B. PAONE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102

Plan administrator’s name and address
Administrator’s EIN 043792611
Plan administrator’s name DOUGLAS B. PAONE, M.D., P.A.
Plan administrator’s address 671 GOODLETTE ROAD, N., SUITE 240, NAPLES, FL, 34102
Administrator’s telephone number 2392632808

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
DOUGLAS B. PAONE, M.D., P.A. 401K PROFIT SHARING PLAN & TRUST 2009 043792611 2010-10-08 DOUGLAS B. PAONE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2392632808
Plan sponsor’s address 848 1ST AVENUE NORTH, SUITE 300, NAPLES, FL, 34102

Plan administrator’s name and address
Administrator’s EIN 043792611
Plan administrator’s name DOUGLAS B. PAONE, M.D., P.A.
Plan administrator’s address 848 1ST AVENUE NORTH, SUITE 300, NAPLES, FL, 34102
Administrator’s telephone number 2392632808

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing DOUGLAS B. PAONE, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MCLAUGHLIN DAVINA L Agent 671 GOODLETTE RD. N.,, NAPLES, FL, 34102

President

Name Role Address
PAONE MD DOUGLAS B President 1788 SUPREME COURT, NAPLES, FL, 34110

Secretary

Name Role Address
MCLAUGHLIN DAVINA L Secretary 1788 SUPREME CT, NAPLES, FL, 34110

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-24 671 Goodlette RD N, STE 200, Naples, FL 34102 No data
CHANGE OF MAILING ADDRESS 2022-03-30 671 Goodlette RD N, STE 200, Naples, FL 34102 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-30 671 GOODLETTE RD. N.,, STE 200, NAPLES, FL 34102 No data
REGISTERED AGENT NAME CHANGED 2014-04-28 MCLAUGHLIN, DAVINA L No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-13
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-07-11
ANNUAL REPORT 2015-04-28

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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