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  5. EDUARDO PALANCA MD PA

EDUARDO PALANCA MD PA

Company Details

Entity Name: EDUARDO PALANCA MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 23 Jul 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Nov 2020 (4 years ago)
Document Number: P14000061816
FEI/EIN Number 47-1424165
Address: 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695
Mail Address: 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164830634 2014-07-29 2024-06-21 2901 RIGSBY LN, SAFETY HARBOR, FL, 346954828, US 2901 RIGSBY LN, SAFETY HARBOR, FL, 346954828, US

Contacts
Phone +1 727-724-8777
Fax 8556496066

Authorized person
Name DOREEN MCKEE
Role CHIEF OPERATIONS OFFICER
Phone 7277248777

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME107758
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBSF
Number 007PP
State FL
Issuer MEDICAID
Number 012768000
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2023 471424165 2024-10-04 EDUARDO PALANCA, MD, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2022 471424165 2023-09-28 EDUARDO PALANCA, MD, PA 11
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2022 471424165 2023-10-09 EDUARDO PALANCA, MD, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2901 RIGSBY LN., SAFETY HARBOR, FL, 34695
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2021 471424165 2022-08-09 EDUARDO PALANCA, MD, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2020 471424165 2021-09-26 EDUARDO PALANCA, MD, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2019 471424165 2020-10-13 EDUARDO PALANCA, MD, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2018 471424165 2019-10-11 EDUARDO PALANCA, MD, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2017 471424165 2018-10-12 EDUARDO PALANCA, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761
EDUARDO PALANCA, MD, PA 401(K) PROFIT SHARING PLAN 2016 471424165 2018-01-31 EDUARDO PALANCA, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277248777
Plan sponsor’s address 2719 SR 580, CLEARWATER, FL, 33761

Agent

Name Role Address
McKee, Doreen Agent 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695

DIRECTOR

Name Role Address
PALANCA, EDUARDO DIRECTOR 2901 RIGSBY LN, SAFETY HARBOR, FL 34695-4828

Chief Operating Officer

Name Role Address
MCKEE, DOREEN Chief Operating Officer 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-05 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-05 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695 No data
CHANGE OF MAILING ADDRESS 2023-04-05 2901 RIGSBY LANE, SAFETY HARBOR, FL 34695 No data
REINSTATEMENT 2020-11-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2019-09-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2015-11-20 McKee, Doreen No data
REINSTATEMENT 2015-11-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-04-06
REINSTATEMENT 2020-11-08
REINSTATEMENT 2019-09-20
REINSTATEMENT 2015-11-20
Domestic Profit 2014-07-23

Related by officers

PALANCA, EDUARDO

PAKS HOSPITALIST GROUP, INC. 2901 RIGSBY , LLC

MCKEE, DOREEN

AAA MOTORING CAR CARE, INC.

Related by address

2901 RIGSBY LANE, SAFETY HARBOR, FL 34695

MTW-WEAVER, L.P. WIN-GL, LTD. MRC AIR, LLC MTW-296, L.P. CAPITAL ROCK REALTY, INC. PV-CORTEZ VILLAGE, LLC PDG VI, INC. SAC-PDG-PA I, LTD. MTW-NEELY FERRY, L.P. MTW-RICHMOND HILL, L.P.

2901 RIGSBY LANE, SAFETY HARBOR, FL 34695

MTW-WEAVER, L.P. WIN-GL, LTD. MRC AIR, LLC MTW-296, L.P. CAPITAL ROCK REALTY, INC. PV-CORTEZ VILLAGE, LLC PDG VI, INC. SAC-PDG-PA I, LTD. MTW-NEELY FERRY, L.P. MTW-RICHMOND HILL, L.P.

Date of last update: 21 Jan 2025

Sources: Florida Department of State

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