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  5. WEST COAST EAR, NOSE & THROAT, INC.

WEST COAST EAR, NOSE & THROAT, INC.

Company Details

Entity Name: WEST COAST EAR, NOSE & THROAT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Oct 1995 (29 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Oct 2011 (13 years ago)
Document Number: P95000082409
FEI/EIN Number 593341738
Address: 1330 S FT HARRISON, CLEARWATER, FL, 33756
Mail Address: 1330 S FT HARRISON, CLEARWATER, FL, 33756
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457610537 2012-05-10 2012-05-10 1330 S FORT HARRISON AVE, CLEARWATER, FL, 337563313, US 1330 S FORT HARRISON AVE, CLEARWATER, FL, 337563313, US

Contacts
Phone +1 727-216-0700
Fax 7272160704

Authorized person
Name MRS. TRACIE BABCOCK
Role DIRECTOR OF FINANCE
Phone 7272160700

Taxonomy
Taxonomy Code 207YX0905X - Otolaryngology/Facial Plastic Surgery Physician
License Number ME54343
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENT ASSOCIATES CASH BALANCE PLAN 2023 593341738 2024-10-12 WEST COAST EAR, NOSE & THROAT, INC. 88
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 7272160705
Plan sponsor’s address 1330 SOUTH FORT HARRISON, CLEARWATER, FL, 33763

Signature of
Role Plan administrator
Date 2024-10-12
Name of individual signing ANDREW MALLON
Valid signature Filed with authorized/valid electronic signature
WEST COAST EAR NOSE & THROAT, INC. 401(K) PROFIT SHARING PLAN & TRUST 2023 593341738 2024-12-20 WEST COAST EAR NOSE & THROAT, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD., SUITE E, CLEARWATER, FL, 33763
WEST COAST EAR NOSE & THROAT, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 593341738 2024-02-13 WEST COAST EAR, NOSE & THROAT, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763

Plan administrator’s name and address
Administrator’s EIN 593341738
Plan administrator’s name WEST COAST EAR, NOSE & THROAT, INC.
Plan administrator’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763
Administrator’s telephone number 7272160700
WEST COAST EAR NOSE & THROAT, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 593341738 2023-02-15 WEST COAST EAR, NOSE & THROAT, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763

Plan administrator’s name and address
Administrator’s EIN 593341738
Plan administrator’s name WEST COAST EAR, NOSE & THROAT, INC.
Plan administrator’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763
Administrator’s telephone number 7272160700
WEST COAST EAR NOSE & THROAT, INC. CASH BALANCE PLAN 2020 593347138 2021-04-26 WEST COAST EAR, NOSE & THROAT, INC. 95
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD, SUITE E, CLEARWATER, FL, 33763
WEST COAST EAR NOSE & THROAT, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 593341738 2021-10-15 WEST COAST EAR, NOSE & THROAT, INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763

Plan administrator’s name and address
Administrator’s EIN 593341738
Plan administrator’s name WEST COAST EAR, NOSE & THROAT, INC.
Plan administrator’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763
Administrator’s telephone number 7272160700
WEST COAST EAR NOSE & THROAT, INC. CASH BALANCE PLAN 2020 593347138 2021-05-03 WEST COAST EAR, NOSE & THROAT, INC. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD, SUITE E, CLEARWATER, FL, 33763
WEST COAST EAR NOSE & THROAT, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 593341738 2021-01-15 WEST COAST EAR, NOSE & THROAT, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763

Plan administrator’s name and address
Administrator’s EIN 593341738
Plan administrator’s name WEST COAST EAR, NOSE & THROAT, INC.
Plan administrator’s address 2515 COUNTRYSIDE BLVD SUITE E, CLEARWATER, FL, 33763
Administrator’s telephone number 7272160700
WEST COAST EAR NOSE & THROAT, INC. CASH BALANCE PLAN 2019 593347138 2020-10-09 WEST COAST EAR, NOSE & THROAT, INC. 95
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7272160700
Plan sponsor’s address 2515 COUNTRYSIDE BLVD, SUITE E, CLEARWATER, FL, 33763
WEST COAST EAR NOSE & THROAT, INC. CASH BALANCE PLAN 2018 593347138 2019-10-13 WEST COAST EAR, NOSE & THROAT, INC. 87
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Plan sponsor’s address 2515 COUNTRYSIDE BLVD, SUITE E, CLEARWATER, FL, 33763

Agent

Name Role Address
Muller Christopher M Agent 3190 MC MULLEN BOOTH RD, CLEARWATER, FL, 33761

Director

Name Role Address
MILLER MITCHELL Director 1330 S FT HARRISON, CLEARWATER, FL, 33756
Morgan Jonathan MDr. Director 1330 S FT HARRISON, CLEARWATER, FL, 33756
Muller Christopher D Director 1330 S FT HARRISON, CLEARWATER, FL, 33756
Hood David Director 1330 S FT HARRISON, CLEARWATER, FL, 33756
Merchant Faisal Dr. Director 1330 S Ft Harrison, Clearwater, FL, 33756
Mallon Andrew Dr. Director 1330 S FT HARRISON, CLEARWATER, FL, 33756

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000108168 ENT ASSOCIATES ACTIVE 2010-11-29 2025-12-31 No data 1330 SOUTH FORT HARRISON, CLEARWATER, FL, 33756, US
G10000108169 EAR, NOSE & THROAT ASSOCIATES & FACIAL AESTHETICS CENTER ACTIVE 2010-11-29 2025-12-31 No data 1330 SOUTH FORT HARRISON, CLEARWATER, FL, 33756, US

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-08 Muller, Christopher MD No data
REINSTATEMENT 2011-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2007-01-17 3190 MC MULLEN BOOTH RD, STE 100, CLEARWATER, FL 33761 No data
CHANGE OF MAILING ADDRESS 2007-01-17 1330 S FT HARRISON, CLEARWATER, FL 33756 No data
CHANGE OF PRINCIPAL ADDRESS 2005-01-14 1330 S FT HARRISON, CLEARWATER, FL 33756 No data
CORPORATE MERGER 1995-12-29 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. CORPORATE MERGER NUMBER 100000008781

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-01-02
AMENDED ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-01-05

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Hood David

EQUITY PARTNERS FOUR PLUS LLC ENTA TRINITY LLC ENTA PASCO LLC SPYGLASS TOWNHOMES OWNERS' ASSOCIATION, INC. PERRINE 17403, LLC

Merchant Faisal Dr.

ENTA WESTCHASE LLC

Mallon Andrew Dr.

EQUITY PARTNERS FOUR PLUS LLC ENTA TRINITY LLC ENTA WESTCHASE LLC ENTA ST. PETE LLC ENTA PASCO GP LLC ENTA PASCO LLC COUNTRYSIDE WEST MEDICAL CLINIC ASSOCIATION, INC. ENT COUNTRYSIDE ,LLC ENTA INVESTMENTS LLC ENTA INVESTMENTS II 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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