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PAUL A. RODRIGUEZ, D.O., P.A.

Company Details

Entity Name: PAUL A. RODRIGUEZ, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Nov 2004 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2017 (7 years ago)
Document Number: P04000153318
FEI/EIN Number 20-1508877
Address: 1821 NE 25 STREET,, SUITE 100, LIGHTHOUSE POINT, FL 33064
Mail Address: 1821 NE 25 STREET,, SUITE 100, LIGHTHOUSE POINT, FL 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2023 263735717 2024-09-30 PAUL A. RODRIGUEZ D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2022 263735717 2023-09-30 PAUL A. RODRIGUEZ D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2021 263735717 2022-10-02 PAUL A. RODRIGUEZ D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2020 263735717 2021-10-12 PAUL A. RODRIGUEZ D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2019 263735717 2020-10-08 PAUL A. RODRIGUEZ D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2018 263735717 2019-09-28 PAUL A. RODRIGUEZ D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
PAUL A. RODRIGUEZ D.O., P.A. DEFINED BENEFIT PLAN 2017 263735717 2018-10-26 PAUL A. RODRIGUEZ D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549410484
Plan sponsor’s address 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064

Signature of

Role Plan administrator
Date 2018-10-26
Name of individual signing PAUL RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-26
Name of individual signing PAUL RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RODRIGUEZ, PAUL A Agent 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL 33064

Chief Executive Officer

Name Role Address
RODRIGUEZ, PAUL ANTHONY, DR. Chief Executive Officer 1821 NE 25 STREET,, SUITE 100 LIGHTHOUSE POINT, FL 33064

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000050178 VIP INTERVENTIONAL SPINE MEDICINE ACTIVE 2016-05-19 2026-12-31 No data 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064
G16000026881 VIP INTERVENTIONAL PAIN MANAGEMENT ACTIVE 2016-03-14 2026-12-31 No data 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL, 33064

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-10-02 1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL 33064 No data
REINSTATEMENT 2017-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-12 1821 NE 25 STREET,, SUITE 100, LIGHTHOUSE POINT, FL 33064 No data
CHANGE OF MAILING ADDRESS 2017-04-12 1821 NE 25 STREET,, SUITE 100, LIGHTHOUSE POINT, FL 33064 No data
REINSTATEMENT 2016-10-29 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-29 RODRIGUEZ, PAUL A No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2006-09-22 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-02-26
REINSTATEMENT 2017-10-02
REINSTATEMENT 2016-10-29
ANNUAL REPORT 2015-03-02

Date of last update: 29 Jan 2025

Sources: Florida Department of State