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  5. PETER A.D. RUBIN, M.D., P.A.

PETER A.D. RUBIN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: PETER A.D. RUBIN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation

PETER A.D. RUBIN, M.D., P.A. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock.
In Florida, Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 12 Mar 2009 (16 years ago)
Document Number: P09000023257
FEI/EIN Number 26-4448971

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: PETER A.D. RUBIN, M.D., P.A., 3401 PGA Blvd, #430, Palm Beach Gardens, FL 33410
Mail Address: 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL 33418
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235360546 2009-08-04 2021-06-04 3401 PGA BLVD STE 430, PALM BEACH GARDENS, FL, 334102825, US 3401 PGA BLVD STE 430, PALM BEACH GARDENS, FL, 334102825, US

Contacts
Phone +1 561-729-7771
Fax 5614915507

Authorized person
Name DR. PETER A.D. RUBIN
Role PRESIDENT
Phone 5617297771

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME 103339
State FL
Is Primary Yes
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number 71471
State MA
Is Primary No

Other Provider Identifiers
Issuer MEDICARE ID- TYPE UNSPECIFIED
Number J09143
State MA
Issuer MEDICAID
Number 3070948
State MA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2023 264448971 2024-06-26 PETER A. D. RUBIN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 6179537013
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2022 264448971 2023-10-03 PETER A. D. RUBIN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 6179537013
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2021 264448971 2022-10-07 PETER A. D. RUBIN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5617297771
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2020 264448971 2021-07-08 PETER A. D. RUBIN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5617297771
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2019 264448971 2020-10-05 PETER A. D. RUBIN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5617297771
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2018 264448971 2019-09-16 PETER A. D. RUBIN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5617297771
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing PETER A.D. RUBIN
Valid signature Filed with authorized/valid electronic signature
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2017 264448971 2018-09-16 PETER A. D. RUBIN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 5617297771
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418

Signature of
Role Plan administrator
Date 2018-09-16
Name of individual signing PETER A.D. RUBIN
Valid signature Filed with authorized/valid electronic signature
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2016 264448971 2017-09-26 PETER A. D. RUBIN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 6179537013
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418

Signature of
Role Plan administrator
Date 2017-09-26
Name of individual signing PETER A.D. RUBIN
Valid signature Filed with authorized/valid electronic signature
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2015 264448971 2016-06-30 PETER A. D. RUBIN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 6179537013
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing PETER A.D. RUBIN
Valid signature Filed with authorized/valid electronic signature
PETER A. D. RUBIN, M.D., P.A. 401(K) PLAN 2014 264448971 2015-09-14 PETER A. D. RUBIN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 6179537013
Plan sponsor’s address 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL, 33418

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing PETER A.D. RUBIN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RUBIN, PETER A.D. M.D. President 139 PLAYA RIENTA WAY, PALM BEACH GARDENS, FL 33418
CORPORATION COMPANY OF MIAMI Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-01-22 PETER A.D. RUBIN, M.D., P.A., 3401 PGA Blvd, #430, Palm Beach Gardens, FL 33410 -
CHANGE OF MAILING ADDRESS 2010-07-02 PETER A.D. RUBIN, M.D., P.A., 3401 PGA Blvd, #430, Palm Beach Gardens, FL 33410 -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-22
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-23

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Companies related by address

No other companies in our directory share the same address as PETER A.D. RUBIN, M.D., P.A.

Date of last update: 24 Feb 2025

Sources: Florida Department of State

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