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ANDREW J. HANZLIK, M.D., P.A.

Company Details

Entity Name: ANDREW J. HANZLIK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Dec 1998 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Dec 2003 (21 years ago)
Document Number: P98000105604
FEI/EIN Number 593548112
Address: 130 Ridge Center Drive, DAVENPORT, FL, 33837, US
Mail Address: 130 Ridge Center Drive, DAVENPORT, FL, 33837, US
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124378229 2012-09-15 2012-09-15 2215 NORTH BLVD W, DAVENPORT, FL, 338378990, US 2215 NORTH BLVD W, DAVENPORT, FL, 338378990, US

Contacts

Phone +1 863-421-9898

Authorized person

Name DR. ANDREW JANUSZ HANZLIK
Role PRESIDENT
Phone 8634219898

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME73735
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDREW J. HANZLIK, M.D., P.A. 401(K) PLAN 2021 593548112 2022-10-17 ANDREW J. HANZLIK, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. DEFINED BENEFIT PLAN 2021 593548112 2023-02-15 ANDREW J. HANZLIK, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. DEFINED BENEFIT PLAN 2020 593548112 2021-10-15 ANDREW J. HANZLIK, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. 401(K) PLAN 2020 593548112 2021-10-15 ANDREW J. HANZLIK, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. DEFINED BENEFIT PLAN 2019 593548112 2020-10-15 ANDREW J. HANZLIK, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. 401(K) PLAN 2019 593548112 2020-10-15 ANDREW J. HANZLIK, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. 401(K) PLAN 2018 593548112 2019-10-14 ANDREW J. HANZLIK, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. DEFINED BENEFIT PLAN 2018 593548112 2019-10-14 ANDREW J. HANZLIK, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. 401(K) PLAN 2017 593548112 2018-10-12 ANDREW J. HANZLIK, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747
ANDREW J. HANZLIK, M.D., P.A. DEFINED BENEFIT PLAN 2017 593548112 2018-10-12 ANDREW J. HANZLIK, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4075662288
Plan sponsor’s address P.O. BOX 470788, CELEBRATION, FL, 34747

Agent

Name Role Address
HANZLIK ANDREW J Agent 130 Ridge Center Drive, DAVENPORT, FL, 33837

President

Name Role Address
HANZLIK ANDREW President 130 Ridge Center Drive, DAVENPORT, FL, 33837

Vice President

Name Role Address
HANZLIK MARGARET Vice President 130 Ridge Center Drive, DAVENPORT, FL, 33837

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-30 130 Ridge Center Drive, Suite 207, DAVENPORT, FL 33837 No data
CHANGE OF MAILING ADDRESS 2021-03-30 130 Ridge Center Drive, Suite 207, DAVENPORT, FL 33837 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-30 130 Ridge Center Drive, Suite 207, DAVENPORT, FL 33837 No data
REINSTATEMENT 2003-12-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1999-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-04-16
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State