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JEROLD A. COHEN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: JEROLD A. COHEN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JEROLD A. COHEN, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 16 Jul 1993 (32 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P93000049869
FEI/EIN Number 650422965

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 12270 NW 71ST ST, PARKLAND, FL, 33076, US
Mail Address: 12270 NW 71ST ST, PARKLAND, FL, 33076, US
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467568154 2006-08-22 2020-08-22 5800 COLONIAL DR, SUITE 207, MARGATE, FL, 330635682, US 5800 COLONIAL DR, SUITE 207, MARGATE, FL, 330635682, US

Contacts

Phone +1 954-979-1400

Authorized person

Name DR. JEROLD ARNOLD COHEN
Role PRESIDENT
Phone 9549791400

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME36181
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 93844
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2015 650422965 2016-05-05 JEROLD A. COHEN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9547535292
Plan sponsor’s address 12270 NW 71ST STREET, PARKLAND, FL, 330764601

Signature of

Role Plan administrator
Date 2016-05-05
Name of individual signing JEROLD A. COHEN
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2014 650422965 2015-05-13 JEROLD A. COHEN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9547535292
Plan sponsor’s address 12270 NW 71ST STREET, PARKLAND, FL, 330764601

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing JEROLD A. COHEN
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2013 650422965 2014-05-16 JEROLD A. COHEN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9549791400
Plan sponsor’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674

Signature of

Role Plan administrator
Date 2014-05-16
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2012 650422965 2013-05-24 JEROLD A. COHEN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9549791400
Plan sponsor’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674

Signature of

Role Plan administrator
Date 2013-05-24
Name of individual signing IGNACIO VILLALOBOS
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2011 650422965 2012-05-30 JEROLD A. COHEN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9549791400
Plan sponsor’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674

Plan administrator’s name and address

Administrator’s EIN 650422965
Plan administrator’s name JEROLD A. COHEN, M.D., P.A.
Plan administrator’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
Administrator’s telephone number 9549791400

Signature of

Role Plan administrator
Date 2012-05-30
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2010 650422965 2011-04-26 JEROLD A. COHEN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9549791400
Plan sponsor’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674

Plan administrator’s name and address

Administrator’s EIN 650422965
Plan administrator’s name JEROLD A. COHEN, M.D., P.A.
Plan administrator’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
Administrator’s telephone number 9549791400

Signature of

Role Plan administrator
Date 2011-04-26
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2009 650422965 2010-06-18 JEROLD A. COHEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9549791400
Plan sponsor’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674

Plan administrator’s name and address

Administrator’s EIN 650422965
Plan administrator’s name JEROLD A. COHEN, M.D., P.A.
Plan administrator’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
Administrator’s telephone number 9549791400

Signature of

Role Plan administrator
Date 2010-06-18
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN 2009 650422965 2010-06-18 JEROLD A. COHEN, M.D., P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 1993-07-16
Business code 621111
Sponsor’s telephone number 9549791400
Plan sponsor’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674

Plan administrator’s name and address

Administrator’s EIN 650422965
Plan administrator’s name JEROLD A. COHEN, M.D., P.A.
Plan administrator’s address 5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
Administrator’s telephone number 9549791400

Key Officers & Management

Name Role Address
COHEN JEROLD A Director 12270 NW 71ST ST, PARKLAND, FL, 33076
COHEN JEROLD A President 12270 NW 71ST ST, PARKLAND, FL, 33076
COHEN JEROLD A Vice President 12270 NW 71ST ST, PARKLAND, FL, 33076
COHEN JEROLD A Secretary 12270 NW 71ST ST, PARKLAND, FL, 33076
COHEN JEROLD A Treasurer 12270 NW 71ST ST, PARKLAND, FL, 33076
COHEN JEROLD A Agent 12270 NW 71ST ST, PARKLAND, FL, 33076

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-01-20 12270 NW 71ST ST, PARKLAND, FL 33076 -
CHANGE OF MAILING ADDRESS 2015-01-20 12270 NW 71ST ST, PARKLAND, FL 33076 -
REGISTERED AGENT ADDRESS CHANGED 2015-01-20 12270 NW 71ST ST, PARKLAND, FL 33076 -

Documents

Name Date
ANNUAL REPORT 2015-01-20
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-01-06
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-01-13
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-08
ANNUAL REPORT 2006-01-11

Date of last update: 03 Mar 2025

Sources: Florida Department of State