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  5. MANUEL H. HERNANDEZ, M.D., P.A.

MANUEL H. HERNANDEZ, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: MANUEL H. HERNANDEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MANUEL H. HERNANDEZ, 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Jun 1998 (27 years ago)
Document Number: P98000054651
FEI/EIN Number 582401792

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4235 KINGS HWY., STE 101, PORT CHARLOTTE, FL, 33980, US
Mail Address: 4235 KINGS HWY., STE 101, PORT CHARLOTTE, FL, 33980, US
ZIP code: 33980
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316064231 2007-03-24 2023-10-06 4235 KINGS HWY UNIT 101, PUNTA GORDA, FL, 339808421, US 4235 KINGS HWY, SUITE 101, PUNTA GORDA, FL, 339808415, US

Contacts
Phone +1 941-764-7773
Fax 9417647681

Authorized person
Name MANUEL HERNANDEZ
Role PRESIDENT
Phone 9417647773

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number 0076069
State FL
Is Primary Yes
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number 0076069
State FL
Is Primary No
Taxonomy Code 207ND0900X - Dermatopathology Physician
License Number 0076069
State FL
Is Primary No
Taxonomy Code 207NP0225X - Pediatric Dermatology Physician
License Number 0076069
State FL
Is Primary No
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
License Number 0076069
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2023 582401792 2025-03-12 MANUEL H. HERNANDEZ, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 339808421

Signature of
Role Plan administrator
Date 2025-03-12
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2022 582401792 2023-09-15 MANUEL H. HERNANDEZ, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 339808421

Signature of
Role Plan administrator
Date 2023-09-15
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2022 582401792 2023-09-15 MANUEL H. HERNANDEZ, M.D., P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 339808421

Signature of
Role Plan administrator
Date 2023-09-15
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2022 582401792 2023-09-15 MANUEL H. HERNANDEZ, M.D., P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 339808421

Signature of
Role Plan administrator
Date 2023-09-15
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2021 582401792 2022-10-13 MANUEL H. HERNANDEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 339808421

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2020 582401792 2021-10-06 MANUEL H. HERNANDEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 339808421

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 582401792 2020-07-06 MANUEL H. HERNANDEZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 33980

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 582401792 2019-10-07 MANUEL H. HERNANDEZ, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 33980

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 582401792 2018-07-18 MANUEL H. HERNANDEZ, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 33980

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature
MANUEL H. HERNANDEZ, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 582401792 2017-07-18 MANUEL H. HERNANDEZ, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9417647773
Plan sponsor’s address 4235 KINGS HIGHWAY, SUITE 101, PORT CHARLOTTE, FL, 33980

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing KAREM CANCIO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HERNANDEZ MANUEL H President 4235 KINGS HWY., STE 101, PORT CHARLOTTE, FL, 33980
FMR CORP. Agent -

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2011-02-28 4235 KINGS HWY., STE 101, PORT CHARLOTTE, FL 33980 -
CHANGE OF PRINCIPAL ADDRESS 2010-06-22 4235 KINGS HWY., STE 101, PORT CHARLOTTE, FL 33980 -
REGISTERED AGENT ADDRESS CHANGED 2008-01-22 C/O FORMOSO-MURIAS, P.A., 401 SW 27THAVE, MIAMI, FL 33135 -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-03-05
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-02-17
ANNUAL REPORT 2016-02-04

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FMR CORP.

GEORGETOWN DEVELOPMENT CORPORATION - Active
Domestic Profit (1992 )
ICONIMAGING, LLC - Inactive
Florida Limited Liability Co. (2007 - 2010)
FAME ENTERTAINMENT, INC. - Inactive
Domestic Profit (1996 - 2008)
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5129 GRANADA, INC. - Inactive
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DOC SUPPLY, INC. - Inactive
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FLORIDA JUDGMENT ENFORCEMENT, LLC - Active
Florida Limited Liability Co. (2010 )
MANAGED CARE PARTNERS, INC. - Inactive
Domestic Profit (1994 - 2007)
ZIMBLE FORMOSO-MURIAS PROFESSIONAL ASSOCIATION - Inactive
Domestic Profit (1992 - 2005)

Companies related by address

No other companies in our directory share the same address as MANUEL H. HERNANDEZ, M.D., P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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