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  5. BENJAMIN TRIPP, M.D., P.A.

BENJAMIN TRIPP, M.D., P.A.

Company Details

Entity Name: BENJAMIN TRIPP, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Oct 1998 (26 years ago)
Document Number: P98000092230
FEI/EIN Number 650872918
Address: 5130 LINTON BLVD, DELRAY BEACH, FL, 33484, US
Mail Address: 5130 LINTON BLVD, DELRAY BEACH, FL, 33484, US
ZIP code: 33484
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629166541 2006-10-10 2009-05-20 5130 LINTON BLVD, SUITE C-1, DELRAY BEACH, FL, 334846596, US 5130 LINTON BLVD, SUITE C-1, DELRAY BEACH, FL, 334846596, US

Contacts
Phone +1 561-499-8048
Fax 5614998762

Authorized person
Name BENJAMIN M TRIPP
Role OWNER
Phone 5614998048

Taxonomy
Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENJAMIN TRIPP M D P A 401(K) PROFIT SHARING PLAN & TRUST 2023 650872918 2024-09-27 BENJAMIN TRIPP M D P A 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5614999048
Plan sponsor’s address 5130 LINTON BLVD - STE C1, DELRAY BEACH, FL, 334846595

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP M D P A 401(K) PROFIT SHARING PLAN & TRUST 2022 650872918 2023-09-14 BENJAMIN TRIPP M D P A 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5614999048
Plan sponsor’s address 5130 LINTON BLVD - STE C1, DELRAY BEACH, FL, 334846595

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP M D P A 401(K) PROFIT SHARING PLAN & TRUST 2020 650872918 2021-10-06 BENJAMIN TRIPP M D P A 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5614999048
Plan sponsor’s address 5130 LINTON BLVD - STE C1, DELRAY BEACH, FL, 334846595

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing BENJAMIN TRIPP MD
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP M D P A 401(K) PROFIT SHARING PLAN & TRUST 2019 650872918 2020-09-21 BENJAMIN TRIPP M D P A 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5614999048
Plan sponsor’s address 5130 LINTON BLVD - STE C1, DELRAY BEACH, FL, 334846595

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing BENJAMIN TRIPP MD
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP M D P A 401 K PROFIT SHARING PLAN TRUST 2018 650872918 2019-10-10 BENJAMIN TRIPP M D P A 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5614999048
Plan sponsor’s address 5130 LINTON BLVD - STE C1, DELRAY BEACH, FL, 334846595

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP M D P A 401 K PROFIT SHARING PLAN TRUST 2017 650872918 2019-09-30 BENJAMIN TRIPP M D P A 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5614999048
Plan sponsor’s address 5130 LINTON BLVD - STE C1, DELRAY BEACH, FL, 334846595

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP, M.D., P.A. RETIREMENT SAVINGS PLAN 2013 650872918 2014-05-01 BENJAMIN TRIPP, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614998048
Plan sponsor’s address 10075 JOG RD, SUITE 306, BOYNTON BEACH, FL, 33437

Signature of
Role Plan administrator
Date 2014-05-01
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP, M.D., P.A. RETIREMENT SAVINGS PLAN 2013 650872918 2014-05-01 BENJAMIN TRIPP, M.D., P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614998048
Plan sponsor’s address 10075 JOG RD, SUITE 306, BOYNTON BEACH, FL, 33437

Signature of
Role Plan administrator
Date 2014-05-01
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP, M.D., P.A. RETIREMENT SAVINGS PLAN 2012 650872918 2013-10-14 BENJAMIN TRIPP, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614998048
Plan sponsor’s address 10075 JOG RD, SUITE 306, BOYNTON BEACH, FL, 33437

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature
BENJAMIN TRIPP, M.D., P.A. RETIREMENT SAVINGS PLAN 2011 650872918 2012-10-15 BENJAMIN TRIPP, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 5614998048
Plan sponsor’s address 10075 JOG RD, SUITE 306, BOYNTON BEACH, FL, 33437

Plan administrator’s name and address
Administrator’s EIN 650872918
Plan administrator’s name BENJAMIN TRIPP, M.D., P.A.
Plan administrator’s address 10075 JOG RD, SUITE 306, BOYNTON BEACH, FL, 33437
Administrator’s telephone number 5614998048

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing BENJAMIN TRIPP
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KRASNA GARY M Agent 120 E. PALMETTO PARK ROAD, BOCA RATON, FL, 33432

Director

Name Role Address
TRIPP BENJAMIN Director 5130 LINTON BLVD, DELRAY BEACH, FL, 33484

President

Name Role Address
TRIPP BENJAMIN President 5130 LINTON BLVD, DELRAY BEACH, FL, 33484

Related by officers

TRIPP BENJAMIN

TRIPP MEDICAL, INC.

KRASNA GARY M

CAMP CHAVERIM, INC. CORAL SPRINGS WELLNESS & FITNESS CENTER, PA JOSEPH A. LOSKOVE, MD, LLC DEWEY PROPERTIES I, LLC OPA-LOCKA HOUSING LIMITED PARTNERSHIP R.S.B. OF WEST PALM BEACH, INC. O-L HOUSING CORPORATION PRIMECARE IMAGING OF FLORIDA, INC. USA TRANSAXLE CORP. C.S.D.C., INC.

Related by address

5130 LINTON BLVD, DELRAY BEACH, FL, 33484, US

WOUND CARE ASSOCIATES, LLC EUGENIO RODRIGUEZ, M.D., P.A.

5130 LINTON BLVD, DELRAY BEACH, FL, 33484, US

WOUND CARE ASSOCIATES, LLC EUGENIO RODRIGUEZ, M.D., P.A.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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