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LA PLASTIC SURGERY, INC.

Company Details

Entity Name: LA PLASTIC SURGERY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Jun 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 07 Jul 2023 (2 years ago)
Document Number: P13000052744
FEI/EIN Number 46-3013156
Address: 5301 4TH AVE CIR E, BRADENTON, FL, 34208, US
Mail Address: 5301 4TH AVE CIR E, BRADENTON, FL, 34208, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336577980 2013-10-17 2017-03-08 1274 N PALM AVE, SARASOTA, FL, 342365604, US 1274 N PALM AVE, SARASOTA, FL, 342365604, US

Contacts

Phone +1 941-954-4500
Fax 9419544555

Authorized person

Name MELINDA LACERNA-KIMBRELL
Role PRESIDENT
Phone 9419544500

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
License Number ME109505
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LA PLASTIC SURGERY, INC. 401(K) PLAN 2023 463013156 2024-03-27 LA PLASTIC SURGERY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 5301 4TH AVE CIR E, BRADENTON, FL, 34208
LA PLASTIC SURGERY, INC. 401(K) PLAN 2023 463013156 2024-03-27 LA PLASTIC SURGERY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 5301 4TH AVE CIR E, BRADENTON, FL, 34208
LA PLASTIC SURGERY, INC. 401(K) PLAN 2022 463013156 2023-10-10 LA PLASTIC SURGERY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 5301 4TH AVE CIR E, BRADENTON, FL, 34208
LA PLASTIC SURGERY, INC. 401(K) PLAN 2021 463013156 2023-01-21 LA PLASTIC SURGERY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 5301 4TH AVE CIR E, BRADENTON, FL, 34208
LA PLASTIC SURGERY, INC. 401(K) PLAN 2020 463013156 2021-10-12 LA PLASTIC SURGERY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 5301 4TH AVE CIR E, BRADENTON, FL, 34208
LA PLASTIC SURGERY, INC. 401(K) PLAN 2019 463013156 2020-10-13 LA PLASTIC SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 5301 4TH AVE CIR E, BRADENTON, FL, 34208
LA PLASTIC SURGERY, INC. 401(K) PLAN 2018 463013156 2019-10-14 LA PLASTIC SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 1274 N. PALM AVENUE, SARASOTA, FL, 34236
LA PLASTIC SURGERY, INC. 401(K) PLAN 2017 463013156 2018-07-24 LA PLASTIC SURGERY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 1274 N. PALM AVENUE, SARASOTA, FL, 34236
LA PLASTIC SURGERY, INC. 401(K) PLAN 2016 463013156 2017-06-28 LA PLASTIC SURGERY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 1274 N. PALM AVENUE, SARASOTA, FL, 34236
LA PLASTIC SURGERY, INC. 401(K) PLAN 2015 463013156 2016-10-08 LA PLASTIC SURGERY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9419544500
Plan sponsor’s address 1274 N. PALM AVENUE, SARASOTA, FL, 34236

Agent

Name Role Address
KOPERNA BRIANNA Agent 5301 4TH AVE CIR E, BRADENTON, FL, 34208

President

Name Role Address
LACERNA MELINDA DR President 5301 4th Avenue Cir E, Bradenton, FL, 34208

Secretary

Name Role Address
LACERNA MELINDA DR Secretary 5301 4th Avenue Cir E, Bradenton, FL, 34208

Treasurer

Name Role Address
LACERNA MELINDA DR Treasurer 5301 4th Avenue Cir E, Bradenton, FL, 34208

Director

Name Role Address
LACERNA MELINDA DR Director 5301 4th Avenue Cir E, Bradenton, FL, 34208

Manager

Name Role Address
Koperna Brianna Manager 5301 4th avenue circle east, bradenton, FL, 34208

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000148244 LA PLASTIC SURGERY & THE SKIN PLASMA CENTER ACTIVE 2023-12-08 2028-12-31 No data 5301 4TH AVE CIR E, BRADENTON, FL, 34208
G18000036615 LA PLASTIC SURGERY & DERMATOLOGY EXPIRED 2018-03-19 2023-12-31 No data 1274 N. PALM AVENUE, SARASOTA, FL, 34236

Events

Event Type Filed Date Value Description
AMENDMENT 2023-07-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-07-07 5301 4TH AVE CIR E, BRADENTON, FL 34208 No data
CHANGE OF MAILING ADDRESS 2023-07-07 5301 4TH AVE CIR E, BRADENTON, FL 34208 No data
REGISTERED AGENT NAME CHANGED 2023-07-07 KOPERNA, BRIANNA No data
REGISTERED AGENT ADDRESS CHANGED 2023-07-07 5301 4TH AVE CIR E, BRADENTON, FL 34208 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
Amendment 2023-07-07
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-04-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State