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  5. FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A.

FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A.

Company Details

Entity Name: FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Sep 2010 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Oct 2010 (14 years ago)
Document Number: P10000075401
FEI/EIN Number 273531109
Address: 180 JFK DRIVE, ATLANTIS, FL, 33462, US
Mail Address: 180 JFK DRIVE, ATLANTIS, FL, 33462, US
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2023 273531109 2024-09-05 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5619836175
Plan sponsor’s address 180 JFK DRIVE, SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2022 273531109 2023-09-28 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5619836175
Plan sponsor’s address 180 JFK DRIVE, SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2020 273531109 2021-10-01 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5619836175
Plan sponsor’s address 180 JFK DRIVE, SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2019 273531109 2020-06-24 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5619836175
Plan sponsor’s address 180 JFK DRIVE, SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2018 273531109 2019-10-04 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES,P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5619836175
Plan sponsor’s address 180 JFK DRIVE, SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2014 273531109 2015-07-23 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5619836175
Plan sponsor’s address 180 JFK DRIVE SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2013 273531109 2014-09-10 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5614340353
Plan sponsor’s address 180 JFK DRIVE, SUITE 311, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing MICHAEL MUSHIEV
Valid signature Filed with authorized/valid electronic signature
FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 401(K) PLAN 2012 273531109 2013-10-10 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 5614340353
Plan sponsor’s address 5503 SOUTH CONGRESS AVE., SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing GENITA ANDINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GERSON GARY N Agent 3001 PGA Blvd., Suite 305, Palm Beach Gardens, FL, 33401

Director

Name Role Address
FISHEL ROBERT M Director 180 JFK DRIVE, ATLANTIS, FL, 33462
ANGELLA FARAHNAZ R Director 180 JFK DRIVE, ATLANTIS, FL, 33462
RANKOVIC VLADIMIR M Director 180 JFK DRIVE, ATLANTIS, FL, 33462
Jimenez Marcelo A Director 180 JFK DRIVE, ATLANTIS, FL, 33462
KOLEK MATTHEW JM.D. Director 180 JFK DRIVE, ATLANTIS, FL, 33462

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2016-01-20 3001 PGA Blvd., Suite 305, Palm Beach Gardens, FL 33401 No data
CHANGE OF PRINCIPAL ADDRESS 2013-04-25 180 JFK DRIVE, STE 311, ATLANTIS, FL 33462 No data
CHANGE OF MAILING ADDRESS 2013-04-25 180 JFK DRIVE, STE 311, ATLANTIS, FL 33462 No data
AMENDMENT 2010-10-25 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-02-15
AMENDED ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-20

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Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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