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  5. HECTOR N. HERNANDEZ, M.D., P.A.

HECTOR N. HERNANDEZ, M.D., P.A.

Company Details

Entity Name: HECTOR N. HERNANDEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Jun 1998 (27 years ago)
Date of dissolution: 29 Apr 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Apr 2019 (6 years ago)
Document Number: P98000054189
FEI/EIN Number 650845053
Address: 21297-A OLEAN BLVD, PORT CHARLOTTE, FL, 33952
Mail Address: PO BOX 510429, PUNTA GORDA, FL, 33951-0429
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346486552 2008-12-18 2009-06-03 PO BOX 510429, PUNTA GORDA, FL, 339510429, US 21297A OLEAN BLVD, PORT CHARLOTTE, FL, 339526704, US

Contacts
Phone +1 941-764-0660

Authorized person
Name DR. HECTOR NICOLAS HERNANDEZ
Role PRESIDENT
Phone 9417640660

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
License Number ME-67993
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2017 650845053 2018-10-05 HECTOR N. HERNANDEZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2016 650845053 2017-09-07 HECTOR N. HERNANDEZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2015 650845053 2016-10-03 HECTOR N. HERNANDEZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2014 650845053 2015-07-16 HECTOR N. HERNANDEZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2013 650845053 2014-10-08 HECTOR N. HERNANDEZ, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Plan administrator’s name and address
Administrator’s EIN 650845053
Plan administrator’s name HECTOR N. HERNANDEZ, M.D., P.A.
Plan administrator’s address PO BOX 510429, PUNTA GORDA, FL, 339510429
Administrator’s telephone number 9417640660

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2012 650845053 2013-10-14 HECTOR N. HERNANDEZ, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Plan administrator’s name and address
Administrator’s EIN 650845053
Plan administrator’s name HECTOR N. HERNANDEZ, M.D., P.A.
Plan administrator’s address PO BOX 510429, PUNTA GORDA, FL, 339510429
Administrator’s telephone number 9417640660

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2011 650845053 2012-10-02 HECTOR N. HERNANDEZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Plan administrator’s name and address
Administrator’s EIN 650845053
Plan administrator’s name HECTOR N. HERNANDEZ, M.D., P.A.
Plan administrator’s address PO BOX 510429, PUNTA GORDA, FL, 339510429
Administrator’s telephone number 9417640660

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2010 650845053 2011-10-06 HECTOR N. HERNANDEZ, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Plan administrator’s name and address
Administrator’s EIN 650845053
Plan administrator’s name HECTOR N. HERNANDEZ, M.D., P.A.
Plan administrator’s address PO BOX 510429, PUNTA GORDA, FL, 339510429
Administrator’s telephone number 9417640660

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
HECTOR N. HERNANDEZ, M.D., P.A. 401K RETIREMENT PLAN 2009 650845053 2010-10-05 HECTOR N. HERNANDEZ, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417640660
Plan sponsor’s address P.O. BOX 510429, PUNTA GORDA, FL, 339510429

Plan administrator’s name and address
Administrator’s EIN 650845053
Plan administrator’s name HECTOR N. HERNANDEZ, M.D., P.A.
Plan administrator’s address PO BOX 510429, PUNTA GORDA, FL, 339510429
Administrator’s telephone number 9417640660

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing HECTOR N. HERNANDEZ, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
FMR CORP. Agent

President

Name Role Address
HERNANDEZ HECTOR N President 21297-A OLEAN BLVD., PORT CHARLOTTE, FL, 33952

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-04-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2003-04-23 21297-A OLEAN BLVD, PORT CHARLOTTE, FL 33952 No data
CHANGE OF MAILING ADDRESS 2003-04-23 21297-A OLEAN BLVD, PORT CHARLOTTE, FL 33952 No data
REGISTERED AGENT ADDRESS CHANGED 2000-02-28 C/O FORMOSO-MURIAS, P.A., 1 UNITY SQ 401 SW 27TH AVE, MIAMI, FL 33135 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-04-29
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-02-24
ANNUAL REPORT 2015-03-30
ANNUAL REPORT 2014-04-26
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-04-17
ANNUAL REPORT 2011-04-12
ANNUAL REPORT 2010-04-08

Related by officers

HERNANDEZ HECTOR N

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Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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