| Entity Name: | MATTHEW D. KAY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Dec 1994 (30 years ago) |
| Document Number: | P94000092572 |
| FEI/EIN Number | 65-0558896 |
| Address: | 2000 Palm Beach Lakes Blvd, Suite 400, West Palm Beach, FL 33409 |
| Mail Address: | PO Box 667347, Pompano Beach, FL 33066-7347 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720380405 | 2010-12-01 | 2010-12-01 | 3520 OAKS WAY, SUITE 503, POMPANO BEACH, FL, 330695391, US | 9980 CENTRAL PARK BLVD N, SUITE 126, BOCA RATON, FL, 334281762, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-971-1995 |
| Fax | 7862387494 |
| Phone | +1 561-487-6600 |
| Fax | 5614876633 |
Authorized person
| Name | MATTHEW D KAY |
| Role | PRESIDENT |
| Phone | 9549711995 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME63126 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 372020900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW D. KAY, M.D., P.A. DEFINED BENEFIT PLAN | 2010 | 650558896 | 2011-07-28 | MATTHEW D. KAY, M.D., P.A. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650558896 |
| Plan administrator’s name | MATTHEW D. KAY, M.D., P.A. |
| Plan administrator’s address | 504 N PARKWAY, GOLDEN BEACH, FL, 331602253 |
| Administrator’s telephone number | 3053439445 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-28 |
| Name of individual signing | MATTHEW KAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3053439445 |
| Plan sponsor’s address | 504 N PARKWAY, GOLDEN BEACH, FL, 331602253 |
Plan administrator’s name and address
| Administrator’s EIN | 650558896 |
| Plan administrator’s name | MATTHEW D. KAY, M.D., P.A. |
| Plan administrator’s address | 504 N PARKWAY, GOLDEN BEACH, FL, 331602253 |
| Administrator’s telephone number | 3053439445 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-10 |
| Name of individual signing | MATTHEW KAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KAY, MATTHEW DM.D. | Agent | 2000 Palm Beach Lakes Blvd, Suite 400, West Palm Beach, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Kay, Matthew DM.D. | President | 2000 Palm Beach Lakes Blvd, Suite 400 West Palm Beach, FL 33409 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000105763 | EYE INSTITUTE OF MIAMI | EXPIRED | 2018-09-26 | 2023-12-31 | No data | 504 N PARKWAY, GOLDEN BEACH, FL, 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 2000 Palm Beach Lakes Blvd, Suite 400, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 2000 Palm Beach Lakes Blvd, Suite 400, West Palm Beach, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 2000 Palm Beach Lakes Blvd, Suite 400, West Palm Beach, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5620258402 | 2021-02-09 | 0455 | PPS | 3520 Oaks Way Apt 503, Pompano Beach, FL, 33069-5380 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1751657301 | 2020-04-28 | 0455 | PPP | 3520 Oaks Way Apt 503, Pompano Beach, FL, 33069-5380 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
