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  5. JEFFREY CAPLAN, MD, PA

JEFFREY CAPLAN, MD, PA

Company Details

Entity Name: JEFFREY CAPLAN, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Oct 2005 (19 years ago)
Document Number: P05000137373
FEI/EIN Number 200028456
Address: 3990 Sheridan Street, SUITE 103, HOLLYWOOD, FL, 33021, US
Mail Address: 3990 sheridan street, SUITE 103, HOLLYWOOD, FL, 33021, US
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114107992 2007-11-08 2013-04-30 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 330211407, US 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 330211407, US

Contacts
Phone +1 954-924-9525
Fax 9549249527

Authorized person
Name DR. JEFFREY ERIC CAPLAN
Role PRESIDENT
Phone 9549249525

Taxonomy
Taxonomy Code 2082S0105X - Surgery of the Hand (Plastic Surgery) Physician
License Number ME93985
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY CAPLAN MD PA 401(K) PLAN 2023 200028456 2024-06-10 JEFFREY CAPLAN MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 3990 SHERIDAN STREET, SUITE 103, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2024-06-10
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2022 200028456 2023-07-08 JEFFREY CAPLAN MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 3990 SHERIDAN STREET, SUITE 103, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2023-07-08
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2021 200028456 2022-07-11 JEFFREY CAPLAN MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2020 200028456 2021-05-18 JEFFREY CAPLAN MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2019 200028456 2020-06-07 JEFFREY CAPLAN MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2020-06-07
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2018 200028456 2019-07-22 JEFFREY CAPLAN MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2017 200028456 2018-07-25 JEFFREY CAPLAN MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2016 200028456 2017-08-14 JEFFREY CAPLAN MD PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2017-08-14
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature
JEFFREY CAPLAN MD PA 401(K) PLAN 2015 200028456 2016-07-28 JEFFREY CAPLAN MD PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 621111
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190
JEFFREY CAPLAN MD PA 401(K) PLAN 2014 200028456 2015-08-21 JEFFREY CAPLAN MD PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 812990
Sponsor’s telephone number 9549249525
Plan sponsor’s address 4330 SHERIDAN ST, SUITE 102, HOLLYWOOD, FL, 33190

Signature of
Role Plan administrator
Date 2015-08-21
Name of individual signing JEFFREY CAPLAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CAPLAN JEFFREY Agent 3990 Sheridan Street, HOLLYWOOD, FL, 33021

President

Name Role Address
CAPLAN JEFFREY E President 3990 Sheridan Street, HOLLYWOOD, FL, 33021

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000040665 PLASTIC SURGERY OF HOLLYWOOD ACTIVE 2022-03-30 2027-12-31 No data 3990 SHERIDAN STREET, SUITE 103, HOLLYWOOD, FL, 33021
G12000120396 THE CAPLAN HAND CENTER ACTIVE 2012-12-13 2027-12-31 No data 3990 SHERIDAN STREET, SUITE 103, HOLLYWOOD, FL, 33021
G12000112999 PLASTIC SURGERY OF HOLLYWOOD EXPIRED 2012-11-26 2017-12-31 No data 1080 SATIN LEAF STREET, HOLLYWOOD, FL, 33019

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-12 3990 Sheridan Street, SUITE 103, HOLLYWOOD, FL 33021 No data
CHANGE OF MAILING ADDRESS 2021-01-12 3990 Sheridan Street, SUITE 103, HOLLYWOOD, FL 33021 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-12 3990 Sheridan Street, SUITE 103, HOLLYWOOD, FL 33021 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-17
ANNUAL REPORT 2015-03-05

Related by officers

CAPLAN JEFFREY

DESIGN CONSULTING GROUP INTERNATIONAL, INC. CATHELLE U.S.A., INC. A.T. VILLA USA, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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