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  5. VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC.

VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC.

Company Details

Entity Name: VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Nov 2005 (19 years ago)
Document Number: P05000153636
FEI/EIN Number 203817830
Address: 1500 ROYAL PALM SQUARE BLVD., Suite 105, FT. MYERS, FL, 33919, US
Mail Address: 1500 ROYAL PALM SQUARE BLVD., Suite105, FT. MYERS, FL, 33919, US
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124205349 2008-01-30 2008-10-01 1510 ROYAL PALM SQUARE BLVD, STE. 101, FORT MYERS, FL, 339191068, US 1510 ROYAL PALM SQUARE BLVD, STE. 101, FORT MYERS, FL, 339191068, US

Contacts
Phone +1 239-694-8346
Fax 2399366272

Authorized person
Name DR. JOSEPH GEORGE MAGNANT
Role M.D.
Phone 2396948346

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number ME94904
State FL
Is Primary Yes

Other Provider Identifiers
Issuer NPI
Number 1588682728
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2023 203817830 2024-08-20 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2392802583
Plan sponsor’s address 1500 ROYAL PALM SQ. BLVD.,, SUITE 105, FORT MYERS, FL, 33919
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2022 203817830 2023-07-27 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD, SUITE 101, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing LAURA SHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-27
Name of individual signing LAURA SHUE
Valid signature Filed with authorized/valid electronic signature
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2021 203817830 2022-08-23 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD, SUITE 101, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2022-08-23
Name of individual signing LAURA SHUE
Valid signature Filed with authorized/valid electronic signature
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2020 203817830 2021-05-21 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD.,, SUITE 101, FORT MYERS, FL, 33919
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2019 203817830 2020-05-07 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD.,, SUITE 101, FORT MYERS, FL, 33919
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2018 203817830 2019-06-06 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD.,, SUITE 101, FORT MYERS, FL, 33919
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2017 203817830 2018-08-30 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD.,, SUITE 101, FORT MYERS, FL, 33919
VEIN SPECIALISTS AT ROYAL PALM SQUARE 401(K) PROFIT SHARING PLAN 2016 203817830 2017-08-08 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2396948346
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD.,, SUITE 101, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2017-08-08
Name of individual signing JOSEPH G. MAGNANT
Valid signature Filed with authorized/valid electronic signature
VEIN SPECIALISTS DEFINED BENEFIT PENSION PLAN 2009 203817830 2010-10-15 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8132242628
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 203817830
Plan administrator’s name VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC.
Plan administrator’s address 1510 ROYAL PALM SQUARE BLVD, FORT MYERS, FL, 33919
Administrator’s telephone number 8132242628
VEIN SPECIALISTS DEFINED BENEFIT PENSION PLAN 2009 203817830 2010-10-22 VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8132242628
Plan sponsor’s address 1510 ROYAL PALM SQUARE BLVD, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 203817830
Plan administrator’s name VEIN SPECIALISTS AT ROYAL PALM SQUARE, INC.
Plan administrator’s address 1510 ROYAL PALM SQUARE BLVD, FORT MYERS, FL, 33919
Administrator’s telephone number 8132242628

Signature of
Role Plan administrator
Date 2010-10-22
Name of individual signing JON RUSEK AS PREPARER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAGNANT JOSEPH GDr. Agent 1500 ROYAL PALM SQUARE BLVD., FT. MYERS, FL, 33919

President

Name Role Address
MAGNANT JOSEPH GDr. President 1500 ROYAL PALM SQUARE BLVD., FT. MYERS, FL, 33919

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000098705 VASCULAR DIAGNOSTICS EXPIRED 2015-09-25 2020-12-31 No data 1510 ROYAL PALM SQUARE BOULEVARD, SUITE 101, FORT MYERS, FL, 33919
G13000086543 VEIN SPECIALISTS EXPIRED 2013-08-30 2018-12-31 No data 1510 ROYAL PALM SQUARE BOULEVARD, #101, FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-13 1500 ROYAL PALM SQUARE BLVD., Suite 105, FT. MYERS, FL 33919 No data
CHANGE OF MAILING ADDRESS 2024-02-13 1500 ROYAL PALM SQUARE BLVD., Suite 105, FT. MYERS, FL 33919 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-13 1500 ROYAL PALM SQUARE BLVD., Suite 105, FT. MYERS, FL 33919 No data
REGISTERED AGENT NAME CHANGED 2015-03-11 MAGNANT, JOSEPH G, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-03-24
ANNUAL REPORT 2015-03-11

Related by officers

MAGNANT JOSEPH GDr.

VASCULAR DIAGNOSTICS, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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