| Entity Name: | DANIEL N EAD MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Aug 2006 (18 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 12 Jun 2008 (17 years ago) |
| Document Number: | P06000113167 |
| FEI/EIN Number | 205459961 |
| Address: | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| Mail Address: | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669560892 | 2006-10-11 | 2014-03-26 | 1330 WEST AVE, #708, MIAMI BEACH, FL, 331390900, US | 1216 N UNIVERSITY DR, PLANTATION, FL, 333224724, US | |||||||||||||||||||||
|
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| Phone | +1 305-803-6610 |
| Phone | +1 954-472-4072 |
| Fax | 9544724044 |
Authorized person
| Name | DR. DANIEL N EAD |
| Role | UROLOGIST |
| Phone | 3058036610 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | ME87145 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL N EAD MD PA 401(K) PLAN | 2014 | 205459961 | 2015-07-22 | DANIEL N EAD MD PA | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-07-21 |
| Name of individual signing | DANIEL EAD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-04-01 |
| Sponsor’s telephone number | 3058036610 |
| Plan sponsor’s address | 1216 N UNIVERSITY DR, PLANTATION, FL, 33322 |
Signature of
| Role | Plan administrator |
| Date | 2015-08-11 |
| Name of individual signing | DANIEL EAD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DEUSCHEL HERB E | Agent | 9710 Stirling road, Cooper City, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| EAD DANIEL N | Director | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| EAD DANIEL N | President | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| EAD DANIEL N | Secretary | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| EAD DANIEL N | Treasurer | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000047209 | EAD UROLOGY | ACTIVE | 2023-04-13 | 2028-12-31 | No data | 1216 N UNIVERSITY DRIVE, PLANTATION, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 9710 Stirling road, suite 107, Cooper City, FL 33024 | No data |
| NAME CHANGE AMENDMENT | 2008-06-12 | DANIEL N EAD MD PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-13 | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL 33322 | No data |
| CHANGE OF MAILING ADDRESS | 2008-05-13 | 1216 N. UNIVERSITY DRIVE, PLANTATION, FL 33322 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-05-13 | DEUSCHEL, HERB E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
