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  5. EMERGENCY PHYSICIAN ENTERPRISES, INC.

EMERGENCY PHYSICIAN ENTERPRISES, INC.

Company Details

Entity Name: EMERGENCY PHYSICIAN ENTERPRISES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Jan 1996 (29 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P96000004231
FEI/EIN Number 65-0646737
Address: 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410
Mail Address: 11420 US HIGHWAY ONE, #124, Palm Beach Gardens, FL 33408
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871588897 2005-09-15 2010-07-20 PO BOX 166274, MIAMI, FL, 331166274, US COLUMBIA PALMS WEST HOSPITAL, 13001 STATE ROAD 80, LOXAHATCHEE, FL, 33470, US

Contacts
Phone +1 561-798-3300

Authorized person
Name DR. MICHAEL ZAPPA
Role PRESIDENT
Phone 8887455556

Taxonomy
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer BCBS GROUP
Number 40564
State FL
Issuer RR MCR GROUP
Number CC7771
State FL
Issuer MEDICAID
Number 379472500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2018 650646737 2019-02-22 EMERGENCY PHYSICIAN ENTERPRISES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address 11420 US HIGHWAY 1 STE 124, NORTH PALM BEACH, FL, 334083226
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2017 650646737 2018-07-23 EMERGENCY PHYSICIAN ENTERPRISES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address 11420 US HIGHWAY 1 STE 124, NORTH PALM BEACH, FL, 334083226
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2016 650646737 2017-06-29 EMERGENCY PHYSICIAN ENTERPRISES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address 11420 US HIGHWAY 1 STE 124, NORTH PALM BEACH, FL, 334083226
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2015 650646737 2016-06-21 EMERGENCY PHYSICIAN ENTERPRISES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address 11420 US HIGHWAY 1 STE 124, NORTH PALM BEACH, FL, 334083226
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2014 650646737 2015-04-21 EMERGENCY PHYSICIAN ENTERPRISES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address P.O. BOX 811992, BOCA RATON, FL, 33481
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2013 650646737 2014-08-01 EMERGENCY PHYSICIAN ENTERPRISES, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address P.O. BOX 811992, BOCA RATON, FL, 33481
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2012 650646737 2013-07-22 EMERGENCY PHYSICIAN ENTERPRISES, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address P.O. BOX 811992, BOCA RATON, FL, 33481

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2011 650646737 2012-07-31 EMERGENCY PHYSICIAN ENTERPRISES, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address P.O. BOX 811992, BOCA RATON, FL, 33481

Plan administrator’s name and address
Administrator’s EIN 650646737
Plan administrator’s name EMERGENCY PHYSICIAN ENTERPRISES, INC.
Plan administrator’s address P.O. BOX 811992, BOCA RATON, FL, 33481
Administrator’s telephone number 5614391491

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2010 650646737 2011-08-29 EMERGENCY PHYSICIAN ENTERPRISES, INC. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address P.O. BOX 811992, BOCA RATON, FL, 33481

Plan administrator’s name and address
Administrator’s EIN 650646737
Plan administrator’s name EMERGENCY PHYSICIAN ENTERPRISES, INC.
Plan administrator’s address P.O. BOX 811992, BOCA RATON, FL, 33481
Administrator’s telephone number 5614391491

Signature of
Role Plan administrator
Date 2011-08-29
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN ENTERPRISES, INC. RETIREMENT PLAN AND TRUST 2009 650646737 2010-10-13 EMERGENCY PHYSICIAN ENTERPRISES, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5614391491
Plan sponsor’s address 1800 FOREST HILL BLVD., SUITE A2, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 650646737
Plan administrator’s name EMERGENCY PHYSICIAN ENTERPRISES, INC.
Plan administrator’s address 1800 FOREST HILL BLVD., SUITE A2, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614391491

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ZAPPA, MICHAEL J Agent 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410

President

Name Role Address
ZAPPA, MICHAEL J President 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410

Vice President

Name Role Address
ZAPPA, MICHAEL J Vice President 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410

Secretary

Name Role Address
ZAPPA, MICHAEL J Secretary 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410

Treasurer

Name Role Address
ZAPPA, MICHAEL J Treasurer 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410

Director

Name Role Address
ZAPPA, MICHAEL J Director 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF MAILING ADDRESS 2015-03-25 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-11 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-11 2250 SEVEN OAKS LANE, PALM BEACH GARDENS, FL 33410 No data

Documents

Name Date
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-08-20
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-03-25
ANNUAL REPORT 2014-04-03
AMENDED ANNUAL REPORT 2013-09-13
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-04-04
ANNUAL REPORT 2010-04-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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