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  5. JONATHAN B. BERGER, M.D., P.A.

JONATHAN B. BERGER, M.D., P.A.

Company Details

Entity Name: JONATHAN B. BERGER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Dec 1999 (25 years ago)
Document Number: P99000107719
FEI/EIN Number 651089702
Address: 1500 NW 10TH AVENUE, SUITE 105, BOCA RATON, FL, 33486, US
Mail Address: 1500 NW 10TH AVENUE, SUITE 105, BOCA RATON, FL, 33486, US
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568661940 2007-07-16 2007-07-16 1500 NW 10TH AVE, SUITE 105, BOCA RATON, FL, 334861312, US 1500 NW 10TH AVE, SUITE 105, BOCA RATON, FL, 334861312, US

Contacts
Phone +1 561-361-8106
Fax 5613611010

Authorized person
Name JONATHAN B BERGER
Role OWNER
Phone 5613618106

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JONATHAN B. BERGER, M.D., P.A. PROFIT SHARING PLAN 2013 651089702 2014-04-07 JONATHAN B. BERGER, M.D., P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5613618106
Plan sponsor’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing DAWN VEGA
Valid signature Filed with authorized/valid electronic signature
JONATHAN B. BERGER, M.D., P.A. PROFIT SHARING PLAN 2013 651089702 2014-04-07 JONATHAN B. BERGER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5613618106
Plan sponsor’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing DAWN VEGA
Valid signature Filed with authorized/valid electronic signature
JONATHAN B. BERGER, M.D., P.A. PROFIT SHARING PLAN 2012 651089702 2013-09-24 JONATHAN B. BERGER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5613618106
Plan sponsor’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054

Signature of
Role Plan administrator
Date 2013-09-24
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature
JONATHAN B. BERGER, M.D., P.A. PROFIT SHARING PLAN 2011 651089702 2012-06-28 JONATHAN B. BERGER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5613618106
Plan sponsor’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054

Plan administrator’s name and address
Administrator’s EIN 651089702
Plan administrator’s name JONATHAN B. BERGER, M.D., P.A.
Plan administrator’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054
Administrator’s telephone number 5613618106

Signature of
Role Plan administrator
Date 2012-06-28
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JONATHAN B. BERGER, M.D., P.A. PROFIT SHARING PLAN 2010 651089702 2011-10-05 JONATHAN B. BERGER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5613618106
Plan sponsor’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054

Plan administrator’s name and address
Administrator’s EIN 651089702
Plan administrator’s name JONATHAN B. BERGER, M.D., P.A.
Plan administrator’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054
Administrator’s telephone number 5613618106

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JONATHAN B. BERGER, M.D., P.A. PROFIT SHARING PLA 2009 651089702 2010-10-12 JONATHAN B. BERGER, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5613618106
Plan sponsor’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054

Plan administrator’s name and address
Administrator’s EIN 651089702
Plan administrator’s name JONATHAN B. BERGER, M.D., P.A.
Plan administrator’s address 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 334961054
Administrator’s telephone number 5613618106

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BERGER JONATHAN B Agent 17870 MONTE VISTA DRIVE, BOCA RATON,, FL, 33496

Director

Name Role Address
BERGER JONATHAN B Director 17870 MONTE VISTA DRIVE, BOCA RATON, FL, 33486

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2013-04-24 17870 MONTE VISTA DRIVE, BOCA RATON,, FL 33496 No data
CHANGE OF PRINCIPAL ADDRESS 2009-05-06 1500 NW 10TH AVENUE, SUITE 105, BOCA RATON, FL 33486 No data
CHANGE OF MAILING ADDRESS 2009-05-06 1500 NW 10TH AVENUE, SUITE 105, BOCA RATON, FL 33486 No data
REGISTERED AGENT NAME CHANGED 2009-05-06 BERGER, JONATHAN BMD No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-11
ANNUAL REPORT 2015-04-29

Related by officers

BERGER JONATHAN B

REGREB HOLDINGS, LLC REBECCA LEAH BERGER TUBEROUS SCLEROSIS FOUNDATION, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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