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DANIEL J. CARUSO, M.D., P.A.

Company Details

Entity Name: DANIEL J. CARUSO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Jul 2010 (15 years ago)
Document Number: P10000059413
FEI/EIN Number 800626861
Address: 221 Greenwich Circle, Jupiter, FL, 33458, US
Mail Address: 221 Greenwich Circle, Jupiter, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336453877 2010-07-26 2021-04-20 221 GREENWICH CIR STE 107, JUPITER, FL, 334582892, US 221 GREENWICH CIR STE 107, JUPITER, FL, 334582892, US

Contacts

Phone +1 561-746-9227
Fax 5617469221

Authorized person

Name DR. DANIEL JOSEPH CARUSO
Role PRESIDENT
Phone 5617469227

Taxonomy

Taxonomy Code 208800000X - Urology Physician
License Number ME101947
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2023 800626861 2024-08-12 DANIEL J. CARUSO, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2024-08-12
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2022 800626861 2023-09-18 DANIEL J. CARUSO, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2023-09-18
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2021 800626861 2022-05-19 DANIEL J. CARUSO, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2022-05-19
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2020 800626861 2021-05-11 DANIEL J. CARUSO, M.D., 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 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2021-05-11
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2019 800626861 2020-09-14 DANIEL J. CARUSO, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2020-09-14
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2018 800626861 2019-10-05 DANIEL J. CARUSO, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2019-10-05
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2017 800626861 2018-07-07 DANIEL J. CARUSO, M.D., 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 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2018-07-07
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2016 800626861 2017-08-22 DANIEL J. CARUSO, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2017-08-22
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2015 800626861 2016-09-10 DANIEL J. CARUSO, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2016-09-10
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature
DANIEL J. CARUSO, M.D., P.A. 401(K) PLAN 2014 800626861 2015-10-02 DANIEL J. CARUSO, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5617469227
Plan sponsor’s address 221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2015-10-02
Name of individual signing ROCIO CARUSO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARUSO DANIEL JMD Agent 221 Greenwich Circle, Jupiter, FL, 33458

President

Name Role Address
Caruso Daniel JM.D. President 221 Greenwich Circle, Jupiter, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-11 221 Greenwich Circle, Suite 107, Jupiter, FL 33458 No data
CHANGE OF MAILING ADDRESS 2024-02-11 221 Greenwich Circle, Suite 107, Jupiter, FL 33458 No data
REGISTERED AGENT NAME CHANGED 2024-02-11 CARUSO, DANIEL J., MD No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-11 221 Greenwich Circle, Suite 107, Jupiter, FL 33458 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-02-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State