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HENKIN NEUROSURGERY, P.A.

Company Details

Entity Name: HENKIN NEUROSURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Oct 2007 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Jun 2022 (3 years ago)
Document Number: P07000114941
FEI/EIN Number 261268549
Address: 427 S Parsons Ave, Ste 112, Brandon, FL, 33511, US
Mail Address: 427 S Parsons Ave, Ste 112, Brandon, FL, 33511, US
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730369729 2007-11-07 2008-12-03 1007 PROFESSIONAL PARK DR, BRANDON, FL, 335114886, US 1007 PROFESSIONAL PARK DR, BRANDON, FL, 335114886, US

Contacts

Phone +1 813-651-3300
Fax 8136514455

Authorized person

Name PHILIP HENKIN
Role PRESIDENT/OWNER
Phone 8136513300

Taxonomy

Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2021 261268549 2022-09-29 HENKIN NEUROSURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513300
Plan sponsor’s address 10740 PALM RIVER RD., STE. 300, TAMPA, FL, 33619

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing PHILIP HENKIN
Valid signature Filed with authorized/valid electronic signature
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2020 261268549 2022-09-29 HENKIN NEUROSURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513300
Plan sponsor’s address 10740 PALM RIVER RD., STE. 300, TAMPA, FL, 33619

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing PHILIP HENKIN
Valid signature Filed with authorized/valid electronic signature
HENKIN NEUROSURGERY, P. A. 401(K) PLAN 2019 261268549 2020-10-06 HENKIN NEUROSURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513000
Plan sponsor’s address 10740 PALM RIVER RD STE 300, TAMPA, FL, 33619

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing DR. PHILIP PHILIP
Valid signature Filed with authorized/valid electronic signature
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2018 261268549 2019-10-15 HENKIN NEUROSURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513000
Plan sponsor’s address 10740 PALM RIVER RD STE 300, TAMPA, FL, 33619
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2017 261268549 2018-10-03 HENKIN NEUROSURGERY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513000
Plan sponsor’s address 10740 PALM RIVER RD STE 300, TAMPA, FL, 33619
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2016 261268549 2017-07-19 HENKIN NEUROSURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513000
Plan sponsor’s address 1007 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2015 261268549 2016-10-12 HENKIN NEUROSURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513300
Plan sponsor’s address 1007 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2014 261268549 2015-10-14 HENKIN NEUROSURGERY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513300
Plan sponsor’s address 1007 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511
HENKIN NEUROSURGERY, P.A. 401(K) PLAN 2013 261268549 2014-10-13 HENKIN NEUROSURGERY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 8136513300
Plan sponsor’s address 1007 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511

Agent

Name Role Address
HENKIN PHILIP M.D. Agent 427 S Parsons Ave, Brandon, FL, 33511

President

Name Role Address
HENKIN PHILIP M.D. President 427 S Parsons Ave, Brandon, FL, 33511

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000077989 NEUROSPINE CENTER ACTIVE 2016-08-01 2026-12-31 No data 10740 PALM RIVER ROAD, SUITE 300, SUITE 300, TAMPA, FL, 33619
G16000058577 NEUROSPINE EXPIRED 2016-06-14 2021-12-31 No data 1007 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-05-08 427 S Parsons Ave, Ste 112, Brandon, FL 33511 No data
CHANGE OF MAILING ADDRESS 2024-05-08 427 S Parsons Ave, Ste 112, Brandon, FL 33511 No data
CHANGE OF PRINCIPAL ADDRESS 2024-05-08 427 S Parsons Ave, Ste 112, Brandon, FL 33511 No data
REINSTATEMENT 2022-06-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2020-01-18 HENKIN, PHILIP, M.D. No data
REINSTATEMENT 2019-10-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REINSTATEMENT 2010-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-08
ANNUAL REPORT 2023-03-06
REINSTATEMENT 2022-06-16
ANNUAL REPORT 2020-01-18
REINSTATEMENT 2019-10-17
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-03-14
ANNUAL REPORT 2015-01-28
ANNUAL REPORT 2014-03-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State