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DR. DANIEL THOMAS, INC.

Company Details

Entity Name: DR. DANIEL THOMAS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Dec 2012 (12 years ago)
Document Number: P12000098542
FEI/EIN Number 46-1518348
Address: 7831 Earlwood Avenue, MOUNT DORA, FL, 32757, US
Mail Address: PO BOX 398, TANGERINE, FL, 32777, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770939555 2016-05-11 2016-07-05 344 S HIGHLAND ST, MOUNT DORA, FL, 327575702, US 344 S HIGHLAND ST, MOUNT DORA, FL, 327575702, US

Contacts

Phone +1 352-729-0923

Authorized person

Name DR. DANIEL THOMAS
Role PRESIDENT
Phone 3527290923

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number OS7406
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. DANIEL THOMAS, INC. 401K PLAN 2022 461518348 2023-05-03 DR. DANIEL THOMAS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-15
Business code 621111
Sponsor’s telephone number 4075381080
Plan sponsor’s address PO BOX 398, TANGERINE, FL, 32777

Signature of

Role Plan administrator
Date 2023-05-03
Name of individual signing DANIEL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-03
Name of individual signing DANIEL THOMAS
Valid signature Filed with authorized/valid electronic signature
DR. DANIEL THOMAS, INC. 401K PLAN 2020 461518348 2021-07-18 DR. DANIEL THOMAS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-15
Business code 621111
Sponsor’s telephone number 4075381080
Plan sponsor’s address 706 CANADICE LANE, WINTER SPRINGS, FL, 32708

Signature of

Role Plan administrator
Date 2021-07-18
Name of individual signing DANIEL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-18
Name of individual signing DANIEL THOMAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HL Hirsch & Company Agent 1006 W. 25th Street, Sanford, FL, 32771

President

Name Role Address
Thomas Daniel D President PO Box 398, Tangerine, FL, 32777

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-06-09 7831 Earlwood Avenue, MOUNT DORA, FL 32757 No data
CHANGE OF MAILING ADDRESS 2021-02-04 7831 Earlwood Avenue, MOUNT DORA, FL 32757 No data
REGISTERED AGENT NAME CHANGED 2017-01-24 HL Hirsch & Company No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-06 1006 W. 25th Street, Sanford, FL 32771 No data

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-03-04

Date of last update: 01 Feb 2025

Sources: Florida Department of State