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  5. MARIO M. BAEZ M.D., P.A.

MARIO M. BAEZ M.D., P.A. - Florida Company Profile

Company Details

Entity Name: MARIO M. BAEZ M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MARIO M. BAEZ M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 10 Feb 1997 (28 years ago)
Date of dissolution: 25 Mar 2014 (11 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Mar 2014 (11 years ago)
Document Number: P97000012980
FEI/EIN Number 650721137

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 251 CRANDON BLVD., KEY BISCAYNE, FL, 33149, US
Mail Address: 251 CRANDON BLVD, APT 243, KEY BISCAYNE, FL, 33149, US
ZIP code: 33149
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356602791 2012-06-01 2012-06-01 2240 W WOOLBRIGHT RD, SUITE 305, BOYNTON BEACH, FL, 334266332, US 2240 W WOOLBRIGHT RD, SUITE 305, BOYNTON BEACH, FL, 334266332, US

Contacts
Phone +1 561-736-3221
Fax 5617365656

Authorized person
Name DR. MARIO M. BAEZ
Role PRESIDENT/OWNER
Phone 5617363221

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 259284300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARIO M. BAEZ, MD, PA 401(K) PLAN 2013 650721137 2014-05-06 MARIO M. BAEZ, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 251 CRANDON BLVD., APT. 243, KEY BISCAYNE, FL, 33149
MARIO M. BAEZ, MD, PA DEFINED BENEFIT PLAN 2013 650721137 2014-05-06 MARIO M. BAEZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 251 CRANDON BLVD., APT. 243, KEY BISCAYNE, FL, 33149
MARIO M. BAEZ, MD, PA 401(K) PLAN 2013 650721137 2014-05-06 MARIO M. BAEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 251 CRANDON BLVD., APT. 243, KEY BISCAYNE, FL, 33149
MARIO M. BAEZ, MD, PA DEFINED BENEFIT PLAN 2012 650721137 2013-09-30 MARIO M. BAEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing MARIO BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing MARIO BAEZ
Valid signature Filed with authorized/valid electronic signature
MARIO M. BAEZ, MD, PA 401(K) PLAN 2012 650721137 2013-09-30 MARIO M. BAEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 251 CRANDON BLVD., APT. 243, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing MARIO M BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing MARIO M BAEZ
Valid signature Filed with authorized/valid electronic signature
MARIO M. BAEZ, MD, PA DEFINED BENEFIT PLAN 2011 650721137 2012-08-02 MARIO M. BAEZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426

Plan administrator’s name and address
Administrator’s EIN 650721137
Plan administrator’s name MARIO M. BAEZ, M.D., P.A.
Plan administrator’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426
Administrator’s telephone number 5617324592

Signature of
Role Plan administrator
Date 2012-08-02
Name of individual signing MARIO BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-02
Name of individual signing MARIO BAEZ
Valid signature Filed with authorized/valid electronic signature
MARIO M. BAEZ, MD, PA 401(K) PLAN 2011 650721137 2012-06-14 MARIO M. BAEZ, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426

Plan administrator’s name and address
Administrator’s EIN 650721137
Plan administrator’s name MARIO M. BAEZ, M.D., P.A.
Plan administrator’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426
Administrator’s telephone number 5617324592

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing MARIO M BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-14
Name of individual signing MARIO M BAEZ
Valid signature Filed with authorized/valid electronic signature
MARIO M. BAEZ, MD, PA DEFINED BENEFIT PLAN 2010 650721137 2011-09-13 MARIO M. BAEZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426

Plan administrator’s name and address
Administrator’s EIN 650721137
Plan administrator’s name MARIO M. BAEZ, M.D., P.A.
Plan administrator’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426
Administrator’s telephone number 5617324592

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing MARIO BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-13
Name of individual signing MARIO BAEZ
Valid signature Filed with authorized/valid electronic signature
MARIO M. BAEZ, MD, PA 401(K) PLAN 2010 650721137 2011-09-12 MARIO M. BAEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426

Plan administrator’s name and address
Administrator’s EIN 650721137
Plan administrator’s name MARIO M. BAEZ, M.D., P.A.
Plan administrator’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426
Administrator’s telephone number 5617324592

Signature of
Role Plan administrator
Date 2011-09-12
Name of individual signing MARIO M BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-12
Name of individual signing MARIO M BAEZ
Valid signature Filed with authorized/valid electronic signature
MARIO M. BAEZ, MD, PA DEFINED BENEFIT PLAN 2009 650721137 2010-09-22 MARIO M. BAEZ, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5617324592
Plan sponsor’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426

Plan administrator’s name and address
Administrator’s EIN 650721137
Plan administrator’s name MARIO M. BAEZ, M.D., P.A.
Plan administrator’s address 2240 WOOLBRIGHT ROAD, SUITE 305, BOYNTON BEACH, FL, 33426
Administrator’s telephone number 5617324592

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing MARIO M. BAEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing MARIO M. BAEZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BAEZ MARIO MDr. President 251 CRANDON BLVD, APT 243, KEY BISCAYNE, FL, 33149
BAEZ MARIO MDr. Director 251 CRANDON BLVD, APT 243, KEY BISCAYNE, FL, 33149
BAEZ LYSETTE E Secretary 251 CRANDON BLVD, APT 243, KEY BISCAYNE, FL, 33149
BAEZ LYSETTE E Director 251 CRANDON BLVD, APT 243, KEY BISCAYNE, FL, 33149
BAEZ MARIO M Agent 251 CRANDON BLVD., KEY BISCAYNE, FL, 33149

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08106700019 BOYNTON MEDICAL EXPIRED 2008-04-15 2013-12-31 - 2240 WOOLBRIGHT ROAD SUITE 305, BOYNTON BEACH, FL, 33426

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-03-25 - -
CHANGE OF PRINCIPAL ADDRESS 2013-01-16 251 CRANDON BLVD., APT 243, KEY BISCAYNE, FL 33149 -
CHANGE OF MAILING ADDRESS 2012-01-11 251 CRANDON BLVD., APT 243, KEY BISCAYNE, FL 33149 -
REGISTERED AGENT ADDRESS CHANGED 2012-01-11 251 CRANDON BLVD., APT 243, KEY BISCAYNE, FL 33149 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2014-03-25
ANNUAL REPORT 2013-01-16
ANNUAL REPORT 2012-01-11
ANNUAL REPORT 2011-04-13
ANNUAL REPORT 2010-01-25
ANNUAL REPORT 2009-03-17
ANNUAL REPORT 2008-04-07
ANNUAL REPORT 2007-03-05
ANNUAL REPORT 2006-04-12
ANNUAL REPORT 2005-03-02

Companies related by officers

BAEZ LYSETTE E

L & M BAEZ FAMILY LIMITED PARTNERSHIP - Inactive
Domestic Limited Partnership (2005 - 2016)

BAEZ MARIO M

K & M REAL ESTATE INVESTMENTS, INC. - Inactive
Domestic Profit (2003 - 2006)
K & M REAL ESTATE INVESTMENTS, INC. - Inactive
Domestic Profit (2003 - 2006)
MARIO M. BAEZ MEDICAL PRACTICE, LLC - Inactive
Florida Limited Liability Co. (2005 - 2006)

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251 CRANDON BLVD., KEY BISCAYNE, FL, 33149, US

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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