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  5. MAHONEY PEDIATRICS, P.A.

MAHONEY PEDIATRICS, P.A.

Company Details

Entity Name: MAHONEY PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Feb 2009 (16 years ago)
Document Number: P09000010179
FEI/EIN Number 264181577
Address: 12983 SOUTHERN BOULEVARD, 100, LOXAHATCHEE, FL, 33470
Mail Address: 12983 SOUTHERN BOULEVARD, 100, LOXAHATCHEE, FL, 33470
ZIP code: 33470
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538446752 2011-11-16 2011-11-16 12983 SOUTHERN BLVD, SUITE 100, LOXAHATCHEE, FL, 334709207, US 12983 SOUTHERN BLVD, SUITE 100, LOXAHATCHEE, FL, 334709207, US

Contacts
Phone +1 561-793-2500

Authorized person
Name MRS. KAREN N FRITZ
Role PRACTICE ADMINISTRATOR
Phone 5617932500

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2023 264181577 2024-04-11 MAHONEY PEDIATRICS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-11
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2024-04-11
Name of individual signing KEVIN MAHONEY
Valid signature Filed with authorized/valid electronic signature
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2022 264181577 2023-04-07 MAHONEY PEDIATRICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-11
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2023-04-07
Name of individual signing KEVIN MAHONEY
Valid signature Filed with authorized/valid electronic signature
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2021 264181577 2022-01-17 MAHONEY PEDIATRICS, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-11
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2022-01-17
Name of individual signing KEVIN MAHONEY
Valid signature Filed with authorized/valid electronic signature
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2020 264181577 2021-02-03 MAHONEY PEDIATRICS, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2021-02-03
Name of individual signing KEVIN MAHONEY
Valid signature Filed with authorized/valid electronic signature
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2019 264181577 2020-02-17 MAHONEY PEDIATRICS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2018 264181577 2019-02-25 MAHONEY PEDIATRICS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2017 264181577 2018-03-12 MAHONEY PEDIATRICS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2016 264181577 2017-06-07 MAHONEY PEDIATRICS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2015 264181577 2016-03-14 MAHONEY PEDIATRICS, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470
MAHONEY PEDIATRICS, P.A. 401(K) PLAN 2014 264181577 2015-06-03 MAHONEY PEDIATRICS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5618016403
Plan sponsor’s address 12983 SOUTHERN BOULEVARD, SUITE 100, LOXAHATCHEE, FL, 33470

Agent

Name Role Address
MAHONEY KEVIN P Agent 2119 Belcara Court, Royal Palm Beach, FL, 33411

President

Name Role Address
MAHONEY JONELL YDr. President 2119 Belcara Court, Royal Palm Beach, FL, 33411

Vice President

Name Role Address
MAHONEY KEVIN P Vice President 2119 Belcara Court, Royal Palm Beach, FL, 33411
Garcia-Perez Caecilia Dr. Vice President 12983 SOUTHERN BOULEVARD, LOXAHATCHEE, FL, 33470

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000127562 OCEANS PEDIATRICS ACTIVE 2024-10-17 2029-12-31 No data 12983 SOUTHERN BLVD, SUITE 100, LOXAHATCHEE, FL, 33470

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2013-04-03 2119 Belcara Court, Royal Palm Beach, FL 33411 No data
CHANGE OF PRINCIPAL ADDRESS 2010-02-04 12983 SOUTHERN BOULEVARD, 100, LOXAHATCHEE, FL 33470 No data
CHANGE OF MAILING ADDRESS 2010-02-04 12983 SOUTHERN BOULEVARD, 100, LOXAHATCHEE, FL 33470 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-02-16
ANNUAL REPORT 2017-03-25
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-02-28

Related by officers

MAHONEY KEVIN P

FQHC'S OF FLORIDA, INC. C.E.O. & C.F.O. CONSULTING SEVICES, INC. K.P. MAHONEY R.E. HOLDING COMPANY, LLC. BAHAMA SERVICES, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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