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  5. ATLANTIC EAR, NOSE & THROAT, P.A.

ATLANTIC EAR, NOSE & THROAT, P.A.

Company Details

Entity Name: ATLANTIC EAR, NOSE & THROAT, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Sep 1999 (25 years ago)
Document Number: P99000082269
FEI/EIN Number 593599451
Address: 963 TOWN CTR DR, ORANGE CITY, FL, 32763, US
Mail Address: 963 TOWN CTR DR, ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2023 593599451 2024-06-12 ATLANTIC EAR, NOSE & THROAT, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2022 593599451 2023-09-19 ATLANTIC EAR, NOSE & THROAT, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2021 593599451 2022-09-19 ATLANTIC EAR, NOSE & THROAT, P.A. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2020 593599451 2021-07-29 ATLANTIC EAR, NOSE & THROAT, P.A. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2019 593599451 2020-07-01 ATLANTIC EAR, NOSE & THROAT, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2018 593599451 2019-07-18 ATLANTIC EAR, NOSE & THROAT, P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2017 593599451 2018-07-20 ATLANTIC EAR, NOSE & THROAT, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2016 593599451 2017-09-19 ATLANTIC EAR, NOSE & THROAT, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577

Signature of
Role Plan administrator
Date 2017-09-19
Name of individual signing DEVANG SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2015 593599451 2016-09-07 ATLANTIC EAR, NOSE & THROAT, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577

Signature of
Role Plan administrator
Date 2016-09-07
Name of individual signing DEVANG SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EAR, NOSE & THROAT, P.A. 401K PLAN 2014 593599451 2015-10-06 ATLANTIC EAR, NOSE & THROAT, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 953577, LAKE MARY, FL, 327953577

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing DEVANG SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAH DEVANG Agent 963 TOWN CTR DR, ORANGE CITY, FL, 32763

Director

Name Role Address
SHAH DEVANG M Director 963 TOWN CTR DR, ORANGE CITY, FL, 32763
ROTHBAUM DANIEL M Director 963 TOWN CTR DR, ORANGE CITY, FL, 32763

President

Name Role Address
SHAH DEVANG M President 963 TOWN CTR DR, ORANGE CITY, FL, 32763

Vice President

Name Role Address
ROTHBAUM DANIEL M Vice President 963 TOWN CTR DR, ORANGE CITY, FL, 32763

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000106113 ATLANTIC E.N.T. ACTIVE 2015-10-18 2025-12-31 No data 963 TOWN CENTER DRIVE, SUITE 100, ORANGE CITY, FL, 32763
G15000106114 ATLANTIC ENT ACTIVE 2015-10-18 2025-12-31 No data 963 TOWN CENTER DRIVE, SUITE 100, ORANGE CITY, FL, 32763
G15000106115 ATLANTIC EAR NOSE AND THROAT ACTIVE 2015-10-18 2025-12-31 No data 963 TOWN CENTER DRIVE, SUITE 100, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-11 963 TOWN CTR DR, 100, ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2015-01-11 963 TOWN CTR DR, 100, ORANGE CITY, FL 32763 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-11 963 TOWN CTR DR, 100, ORANGE CITY, FL 32763 No data
REGISTERED AGENT NAME CHANGED 2002-04-21 SHAH, DEVANG No data

Documents

Name Date
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-15
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-14
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-02-12
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-11

Related by officers

SHAH DEVANG

L.A.S.P., INC. ASPIRATIONS, LLC GRAND HOSPITALITY, LLC DREAMS MANAGEMENT, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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