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  5. ALAN L. TANNENBAUM, M.D., P.A.

ALAN L. TANNENBAUM, M.D., P.A.

Company Details

Entity Name: ALAN L. TANNENBAUM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 02 Jul 1996 (29 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 08 Sep 1997 (27 years ago)
Document Number: P96000056924
FEI/EIN Number 65-0692105
Mail Address: 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901
Address: 523 CAPE CORAL PKWY, CAPE CORAL, FL 33904
ZIP code: 33904
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2023 650692105 2024-08-13 ALAN L. TANNENBAUM, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2022 650692105 2023-09-12 ALAN L. TANNENBAUM, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2021 650692105 2022-08-30 ALAN L. TANNENBAUM, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2020 650692105 2021-06-09 ALAN L. TANNENBAUM, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2019 650692105 2020-06-25 ALAN L. TANNENBAUM, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2018 650692105 2019-06-18 ALAN L. TANNENBAUM, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2017 650692105 2018-05-07 ALAN L. TANNENBAUM, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2016 650692105 2017-03-13 ALAN L. TANNENBAUM, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904

Signature of
Role Plan administrator
Date 2017-03-13
Name of individual signing ALAN L. TANNENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2015 650692105 2016-07-18 ALAN L. TANNENBAUM, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing ALAN L. TANNENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature
ALAN L. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2014 650692105 2015-07-06 ALAN L. TANNENBAUM, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2395492772
Plan sponsor’s address 523 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing ALAN L. TANNENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TANNENBAUM, ALAN L Agent 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901

President

Name Role Address
TANNENBAUM, ALAN L President 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901

Vice President

Name Role Address
TANNENBAUM, ALAN L Vice President 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901

Secretary

Name Role Address
TANNENBAUM, ALAN L Secretary 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901

Treasurer

Name Role Address
TANNENBAUM, ALAN L Treasurer 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901

Director

Name Role Address
TANNEBAUM, ALAN L Director 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000080511 INTEGRATED THERAPY AND REHAB EXPIRED 2014-08-05 2024-12-31 No data 523 CAPE CORAL PARKWAY E, CAPE CORAL, FL, 33904
G04012700028 PRIMARY CARE ASSOCIATES OF SWFL EXPIRED 2004-01-12 2024-12-31 No data 523 CAPE CORAL PKWY EAST, CAPE CORAL, FL, 33904

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-14 523 CAPE CORAL PKWY, CAPE CORAL, FL 33904 No data
CHANGE OF MAILING ADDRESS 2024-02-14 523 CAPE CORAL PKWY, CAPE CORAL, FL 33904 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-14 2090 WEST FIRST STREET #605, FORT MYERS, FL 33901 No data
AMENDMENT AND NAME CHANGE 1997-09-08 ALAN L. TANNENBAUM, M.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-03-20

Related by officers

TANNENBAUM, ALAN L

QUICKCARE OF CAPE CORAL, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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