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ENRIQUE HANABERGH JR., M.D., P.A.

ENRIQUE HANABERGH JR., M.D., P.A.

Company Details

Entity Name:	ENRIQUE HANABERGH JR., M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	26 Jul 2011 (14 years ago)
Document Number:	P11000067409
FEI/EIN Number	452809523
Address:	7975 NW 154th St, Miami Lakes, FL, 33016, US
Mail Address:	7975 NW 154th St, Miami Lakes, FL, 33016, US
ZIP code:	33016
County:	Miami-Dade
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1316225030

2011-07-29

2011-07-29

21097 NE 27TH CT, SUITE 210, AVENTURA, FL, 331801204, US

21097 NE 27TH CT, SUITE 210, AVENTURA, FL, 331801204, US

Contacts

Phone	+1 305-328-9557
Fax	8557607770

Authorized person

Name	ENRIQUE HANABERGH JR.
Role	PRESIDENT/CEO
Phone	3053102799

Taxonomy

Taxonomy Code	208200000X - Plastic Surgery Physician
License Number	ME 104210
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ENRIQUE HANABERGH, JR., M.D., P.A. 401K PROFIT SHARING PLAN AND TRUST

2023

452809523

2024-10-07

ENRIQUE HANABERGH, JR., M.D., P.A.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	3055012451
Plan sponsor’s address	7975 NW 154TH ST., SUITE 400, MIAMI LAKES, FL, 33016

ENRIQUE HANABERGH, JR., M.D., P.A. DEFINED BENEFIT PENSION PLAN AND TRUST

2023

452809523

2024-10-07

ENRIQUE HANABERGH, JR., M.D., P.A.

2

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	3055012451
Plan sponsor’s address	7975 NW 154TH ST SUITE 400, AVENTURA, FL, 33016

ENRIQUE HANABERGH, JR., M.D., P.A. 401K PROFIT SHARING PLAN AND TRUST

2022

452809523

2023-10-03

ENRIQUE HANABERGH, JR., M.D., P.A.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	3055012451
Plan sponsor’s address	7975 NW 154TH ST., SUITE 400, MIAMI LAKES, FL, 33016

ENRIQUE HANABERGH, JR., M.D., P.A. DEFINED BENEFIT PENSION PLAN AND TRUST

2022

452809523

2023-10-03

ENRIQUE HANABERGH, JR., M.D., P.A.

2

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	3055012451
Plan sponsor’s address	7975 NW 154TH ST SUITE 400, AVENTURA, FL, 33016

ENRIQUE HANABERGH, JR., M.D., P.A. 401K PROFIT SHARING PLAN AND TRUST

2021

452809523

2022-07-14

ENRIQUE HANABERGH, JR., M.D., P.A.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	3055012451
Plan sponsor’s address	21000 NE 28TH AVE, SUITE 200, AVENTURA, FL, 33180

Agent

Name	Role	Address
THE LAW OFFICES OF MAX A. ADAMS, ESQ.	Agent	2100 PONCE DE LEON BLVD, SUITE 1000, CORAL GABLES, FL, 33134

President

Name	Role	Address
Hanabergh Enrique Jr.	President	7975 NW 154th St, Miami Lakes, FL, 33016

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2022-08-09	7975 NW 154th St, Suite 400, Miami Lakes, FL 33016	No data
CHANGE OF MAILING ADDRESS	2022-08-09	7975 NW 154th St, Suite 400, Miami Lakes, FL 33016	No data

Documents

Name	Date
ANNUAL REPORT	2025-01-10
ANNUAL REPORT	2024-02-27
ANNUAL REPORT	2023-03-29
ANNUAL REPORT	2022-07-16
ANNUAL REPORT	2021-01-12
ANNUAL REPORT	2020-02-04
ANNUAL REPORT	2019-02-07
ANNUAL REPORT	2018-03-12
AMENDED ANNUAL REPORT	2017-08-02
ANNUAL REPORT	2017-02-10
ANNUAL REPORT	2016-07-08
ANNUAL REPORT	2015-03-19
ANNUAL REPORT	2014-01-31
ANNUAL REPORT	2013-04-01
ANNUAL REPORT	2012-03-10
Domestic Profit	2011-07-26

Date of last update: 03 Feb 2025

Sources: Florida Department of State