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  5. S. G. WEISS, M.D., INC.

S. G. WEISS, M.D., INC.

Company Details

Entity Name: S. G. WEISS, M.D., INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Nov 1997 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 13 Oct 2014 (10 years ago)
Document Number: P97000100714
FEI/EIN Number 593482377
Address: 3591 LANDMARK TRAIL, PALM HARBOR, FL, 34684
Mail Address: 3591 LANDMARK TRAIL, PALM HARBOR, FL, 34684
ZIP code: 34684
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013316595 2014-08-20 2014-08-20 3251 N MCMULLEN BOOTH RD, SUITE 300, CLEARWATER, FL, 337612022, US 3251 N MCMULLEN BOOTH RD, SUITE 300, CLEARWATER, FL, 337612022, US

Contacts
Phone +1 727-791-3337
Fax 7277252577

Authorized person
Name DR. STEVEN G WEISS
Role OWNER
Phone 7277913337

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 0044131
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 069588200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2023 593482377 2024-09-09 S.G. WEISS, M.D., INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2022 593482377 2024-01-11 S.G. WEISS, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2021 593482377 2022-10-04 S.G. WEISS, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2020 593482377 2021-09-20 S.G. WEISS, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2019 593482377 2020-09-18 S.G. WEISS, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2018 593482377 2019-10-04 S.G. WEISS, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2017 593482377 2018-09-28 S.G. WEISS, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2016 593482377 2017-12-06 S.G. WEISS, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2015 593482377 2016-09-19 S.G. WEISS, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022
S.G. WEISS, M.D., INC. RETIREMENT SAVINGS PLAN 2014 593482377 2015-10-12 S.G. WEISS, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 7277913337
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD STE 300, CLEARWATER, FL, 337612022

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing STEVEN G. WEISS, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WEISS S G Agent 3591 LANDMARK TRAIL, PALM HARBOR, FL, 34684

Director

Name Role Address
WEISS STEVEN G Director 3591 LANDMARK TRAIL, PALM HARBOR, FL, 34684

Vice President

Name Role Address
CHERNIN LEAH RD.O. Vice President 3591 LANDMARK TRAIL, PALM HARBOR, FL, 34684

Events

Event Type Filed Date Value Description
AMENDMENT 2014-10-13 No data No data
REGISTERED AGENT NAME CHANGED 1998-06-10 WEISS, S G No data
REGISTERED AGENT ADDRESS CHANGED 1998-06-10 3591 LANDMARK TRAIL, PALM HARBOR, FL 34684 No data

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-05-18
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-02-24
ANNUAL REPORT 2019-02-17
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-02-18
ANNUAL REPORT 2016-03-07

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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