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  5. DARRAN HAMM, D.C., P.A.

DARRAN HAMM, D.C., P.A.

Company Details

Entity Name: DARRAN HAMM, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Mar 2014 (11 years ago)
Document Number: P14000026809
FEI/EIN Number 46-5216236
Address: 55 Weston Rd, 101, WESTON, FL, 33326, US
Mail Address: 55 Weston Rd, 101, WESTON, FL, 33326, US
ZIP code: 33326
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346669132 2014-04-09 2023-03-13 2853 EXECUTIVE PARK DR, SUITE 102, WESTON, FL, 333313656, US 55 WESTON RD STE 101B, WESTON, FL, 333261112, US

Contacts
Phone +1 954-659-1208
Fax 9549606355

Authorized person
Name DR. DARRAN HAMM
Role PRESIDENT
Phone 9546591208

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH11011
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DARRAN HAMM D.C.,P.A. 401(K) P/S PLAN 2023 465216236 2024-10-02 DARRAN HAMM D.C.,P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621310
Sponsor’s telephone number 9544000479
Plan sponsor’s address 55 WON RD STE 101B, WESTON, FL, 33326

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing DARRAN HAMM
Valid signature Filed with authorized/valid electronic signature
DARRAN HAMM D.C.,P.A. 401(K) P/S PLAN 2022 465216236 2023-05-08 DARRAN HAMM D.C.,P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621310
Sponsor’s telephone number 9544000479
Plan sponsor’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331

Plan administrator’s name and address
Administrator’s EIN 465216236
Plan administrator’s name DARRAN HAMM D.C.,P.A.
Plan administrator’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331
Administrator’s telephone number 9544000479

Signature of
Role Plan administrator
Date 2023-05-08
Name of individual signing DARRAN HAMM
Valid signature Filed with authorized/valid electronic signature
DARRAN HAMM D.C.,P.A. 401(K) P/S PLAN 2021 465216236 2022-05-18 DARRAN HAMM D.C.,P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621310
Sponsor’s telephone number 9544000479
Plan sponsor’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331

Plan administrator’s name and address
Administrator’s EIN 465216236
Plan administrator’s name DARRAN HAMM D.C.,P.A.
Plan administrator’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331
Administrator’s telephone number 9544000479

Signature of
Role Plan administrator
Date 2022-05-18
Name of individual signing DARRAN HAMM
Valid signature Filed with authorized/valid electronic signature
DARRAN HAMM D.C.,P.A. 401(K) P/S PLAN 2020 465216236 2021-09-03 DARRAN HAMM D.C.,P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621310
Sponsor’s telephone number 9544000479
Plan sponsor’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331

Plan administrator’s name and address
Administrator’s EIN 465216236
Plan administrator’s name DARRAN HAMM D.C.,P.A.
Plan administrator’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331
Administrator’s telephone number 9544000479

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing DARRAN HAMM
Valid signature Filed with authorized/valid electronic signature
DARRAN HAMM D.C.,P.A. 401(K) P/S PLAN 2019 465216236 2020-06-10 DARRAN HAMM D.C.,P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621310
Sponsor’s telephone number 9544000479
Plan sponsor’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331

Plan administrator’s name and address
Administrator’s EIN 465216236
Plan administrator’s name DARRAN HAMM D.C.,P.A.
Plan administrator’s address 2853 EXECUTIVE PARK DR STE 102, WESTON, FL, 33331
Administrator’s telephone number 9544000479

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing DARRAN HAMM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAMM DARRAN Agent 55 Weston Rd, WESTON, FL, 33326

President

Name Role Address
HAMM DARRAN President 55 Weston Rd, WESTON, FL, 33326

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000064057 CRYO 954 ACTIVE 2016-06-29 2026-12-31 No data 55 WESTON RD, STE 101B, SUNRISE, FL, 33326
G14000035405 NEUROSPINAL INSTITUTE OF BROWARD ACTIVE 2014-04-09 2029-12-31 No data 55 WESTON RD., SUITE 101, WESTON, FL, 33326
G14000034292 WESTON WELLNESS CENTER EXPIRED 2014-04-07 2019-12-31 No data 2853 EXECUTIVE PARK DRIVE, STE 102, WESTON, FL, 33331

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-19 55 Weston Rd, 101, WESTON, FL 33326 No data
CHANGE OF MAILING ADDRESS 2023-01-19 55 Weston Rd, 101, WESTON, FL 33326 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-19 55 Weston Rd, 101, WESTON, FL 33326 No data
REGISTERED AGENT NAME CHANGED 2015-05-01 HAMM, DARRAN No data

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-05-01

Related by officers

HAMM DARRAN

NSI BROWARD, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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