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MIHAI S. RADU, M.D., P.A.

Company Details

Entity Name: MIHAI S. RADU, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 Dec 1997 (27 years ago)
Document Number: P97000103360
FEI/EIN Number 59-3481847
Address: 255 FORTENBERRY RD, SUITE B-6, MERRITT ISLAND, FL 32952
Mail Address: 255 FORTENBERRY RD, SUITE B-6, MERRITT ISLAND, FL 32952
ZIP code: 32952
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558529842 2008-05-23 2008-05-23 1980 N ATLANTIC AVE, STE 718, COCOA BEACH, FL, 329315213, US 1980 N ATLANTIC AVE, STE 718, COCOA BEACH, FL, 329315213, US

Contacts

Phone +1 321-783-6115
Fax 3217835524

Authorized person

Name MIHAI S RADU
Role OWNER
Phone 3217836115

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2022 593481847 2023-06-16 MIHAI S. RADU, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, SUITE A-3, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2023-06-16
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2021 593481847 2022-05-09 MIHAI S. RADU, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, SUITE A-3, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2022-05-09
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2020 593481847 2022-05-06 MIHAI S. RADU, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, SUITE A-3, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2022-05-06
Name of individual signing MIHAI S. RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2020 593481847 2021-07-19 MIHAI S. RADU, M.D., P.A. 12
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, SUITE A-3, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2021-07-19
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2019 593481847 2020-06-05 MIHAI S. RADU, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, SUITE B-6, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2020-06-05
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2018 593481847 2019-06-06 MIHAI S. RADU, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, SUITE B-6, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2019-06-06
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing MIHAI S RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2017 593481847 2018-09-19 MIHAI S. RADU, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2018-09-19
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2016 593481847 2017-09-21 MIHAI S. RADU, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY RD, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2017-09-21
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, MD, PA PROFIT SHARING PLAN 2015 593481847 2016-10-15 MIHAI S. RADU, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature
MIHAI S. RADU, MD, PA PROFIT SHARING PLAN 2014 593481847 2015-10-12 MIHAI S. RADU, M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3214531717
Plan sponsor’s address 255 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing MIHAI RADU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RADU, MIHAI S Agent 255 FORTENBERRY ROAD, STE B-6, MERRITT ISLAND, FL 32952

President

Name Role Address
RADU, MIHAI S President 255 FORTENBERRY RD, Suite B-6 MERRITT ISLAND, FL 32937

Director

Name Role Address
RADU, MARY CMD Director 255 FORTENBERRY RD, Suite B-6 MERRITT ISLAND, FL 32937

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G98013900049 ATLANTIC COAST MEDICAL ACTIVE 1998-01-13 2028-12-31 No data 255 FORTENBERRY ROAD, SUIT B-6, MERRITT ISLAND, FL, 32952

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2001-05-03 RADU, MIHAI S No data
REGISTERED AGENT ADDRESS CHANGED 2001-05-03 255 FORTENBERRY ROAD, STE B-6, MERRITT ISLAND, FL 32952 No data
CHANGE OF PRINCIPAL ADDRESS 1998-02-10 255 FORTENBERRY RD, SUITE B-6, MERRITT ISLAND, FL 32952 No data
CHANGE OF MAILING ADDRESS 1998-02-10 255 FORTENBERRY RD, SUITE B-6, MERRITT ISLAND, FL 32952 No data

Documents

Name Date
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-03-02
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-02-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State