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DANIEL ETTEDGUI, D.O., P.A.

Company Details

Entity Name: DANIEL ETTEDGUI, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Feb 1995 (30 years ago)
Document Number: P95000013930
FEI/EIN Number 650552190
Address: 7284 West Palmetto Park Road, BOCA RATON, FL, 33433, US
Mail Address: 7284 West Palmetto Park Road, BOCA RATON, FL, 33433, US
ZIP code: 33433
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2022 650552190 2023-10-16 DANIEL ETTEDGUI, D.O., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2021 650552190 2022-10-12 DANIEL ETTEDGUI, D.O., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2020 650552190 2021-11-24 DANIEL ETTEDGUI, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2020 650552190 2021-10-11 DANIEL ETTEDGUI, D.O., P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2019 650552190 2020-07-14 DANIEL ETTEDGUI, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2018 650552190 2019-09-06 DANIEL ETTEDGUI, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2017 650552190 2018-10-08 DANIEL ETTEDGUI, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2016 650552190 2017-10-31 DANIEL ETTEDGUI, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2015 650552190 2016-10-13 DANIEL ETTEDGUI, D.O., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 7284 W. PALMETTO PARK RD., SUITE 105S, BOCA RATON, FL, 33433
PHYSICAL MEDICINE OF SOUTH FLORIDA 401(K) PLAN 2014 650552190 2015-06-29 DANIEL ETTEDGUI, D.O., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619129580
Plan sponsor’s address 1905 CLINT MOORE RD., SUITE 308, BOCA RATON, FL, 33496

Plan administrator’s name and address

Administrator’s EIN 650552190
Plan administrator’s name DANIEL ETTEDGUI, D.O., P.A.
Plan administrator’s address 1905 CLINT MOORE RD., SUITE 308, BOCA RATON, FL, 33496
Administrator’s telephone number 5619129580

Signature of

Role Plan administrator
Date 2015-06-29
Name of individual signing DANIEL ETTEDGUI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ETTEDGUI DANIEL Agent 7505 LONDON LANE, BOCA RATON, FL, 33433

President

Name Role Address
ETTEDGUI DANIEL President 7505 LONDON LANE, BOCA RATON, FL, 33433

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G01277900226 PHYSICAL MEDICINE OF SOUTH FLORIDA ACTIVE 2001-10-05 2026-12-31 No data 7284 WEST PALMETTO PARK ROAD, SUITE #105 S, BOCA RATON, FL, 33433

Events

Event Type Filed Date Value Description
REINSTATEMENT 1998-11-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State