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  5. SEAN A. SIMON, M.D., P.A.

SEAN A. SIMON, M.D., P.A.

Company Details

Entity Name: SEAN A. SIMON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jan 2006 (19 years ago)
Document Number: P06000003755
FEI/EIN Number 204086571
Address: 3850 Bird Road, SUITE 201, MIAMI, FL, 33146, US
Mail Address: 3850 Bird Road, SUITE 201, MIAMI, FL, 33146, US
ZIP code: 33146
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184634321 2006-08-09 2020-08-22 6250 SUNSET DR, SUITE 200, SOUTH MIAMI, FL, 331434807, US 6250 SUNSET DR, SUITE 200, SOUTH MIAMI, FL, 331434807, US

Contacts
Phone +1 305-668-0496
Fax 3056677459

Authorized person
Name DR. SEAN ADAM SIMON
Role PRESIDENT
Phone 3056680496

Taxonomy
Taxonomy Code 208200000X - Plastic Surgery Physician
License Number ME91069
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEAN A. SIMON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 204086571 2024-09-28 SEAN A. SIMON, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 204086571 2023-06-16 SEAN A. SIMON, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2022 204086571 2023-10-12 SEAN A. SIMON, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2021 204086571 2022-10-12 SEAN A. SIMON, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 204086571 2022-10-12 SEAN A. SIMON, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 204086571 2021-10-10 SEAN A. SIMON, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2020 204086571 2021-10-11 SEAN A. SIMON, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2019 204086571 2020-10-14 SEAN A. SIMON, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 204086571 2020-10-04 SEAN A. SIMON, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146
SEAN A. SIMON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 204086571 2019-10-13 SEAN A. SIMON, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3056680496
Plan sponsor’s address 3850 BIRD ROAD #201, MIAMI, FL, 33146

Agent

Name Role Address
SIMON SEAN A Agent 3850 Bird Road, MIAMI, FL, 33146

Director

Name Role Address
SIMON SEAN A Director 3850 Bird Road, MIAMI, FL, 33146

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-02-26 3850 Bird Road, SUITE 201, MIAMI, FL 33146 No data
CHANGE OF MAILING ADDRESS 2014-02-26 3850 Bird Road, SUITE 201, MIAMI, FL 33146 No data
REGISTERED AGENT ADDRESS CHANGED 2014-02-26 3850 Bird Road, SUITE 201, MIAMI, FL 33146 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-09

Related by officers

No related officers

Related by address

3850 Bird Road, SUITE 201, MIAMI, FL, 33146, US

PERRI ELIZABETH YOUNG, M.D., P.A.

3850 Bird Road, SUITE 201, MIAMI, FL, 33146, US

PERRI ELIZABETH YOUNG, M.D., P.A.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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