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  5. SCOTT D. WARREN, M.D., P.A.

SCOTT D. WARREN, M.D., P.A.

Company Details

Entity Name: SCOTT D. WARREN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 19 Dec 1990 (34 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 31 Jul 2002 (23 years ago)
Document Number: S20168
FEI/EIN Number 59-3041106
Address: 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216
Mail Address: 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2023 593041106 2025-01-16 SCOTT D. WARREN, M.D., P.A. 54
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2025-01-16
Name of individual signing SCOTT WARREN, MD
Valid signature Filed with authorized/valid electronic signature
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2023 593041106 2024-08-28 SCOTT D. WARREN, M.D., P.A. 47
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2024-08-28
Name of individual signing SCOTT WARREN, MD
Valid signature Filed with authorized/valid electronic signature
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2022 593041106 2023-08-11 SCOTT D. WARREN, M.D., P.A. 43
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-08-11
Name of individual signing SCOTT WARREN, MD
Valid signature Filed with authorized/valid electronic signature
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2021 593041106 2022-10-07 SCOTT D. WARREN, M.D., P.A. 42
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing SCOTT WARREN, MD
Valid signature Filed with authorized/valid electronic signature
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2020 593041106 2021-07-14 SCOTT D. WARREN, M.D., P.A. 41
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2019 593041106 2020-06-09 SCOTT D. WARREN, M.D., P.A. 39
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2018 593041106 2019-06-13 SCOTT D. WARREN, M.D., P.A. 42
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2017 593041106 2018-05-21 SCOTT D. WARREN, M.D., P.A. 45
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2016 593041106 2017-07-12 SCOTT D. WARREN, M.D., P.A. 45
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
SCOTT D. WARREN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 593041106 2016-07-14 SCOTT D. WARREN, M.D., P.A. 52
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9042961340
Plan sponsor’s address 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216

Agent

Name Role Address
WARREN, SCOTT D Agent 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216

President

Name Role Address
WARREN, SCOTT D President 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216

Director

Name Role Address
WARREN, SCOTT D Director 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000024724 FIRST COAST MOHS OF FERNANDINA ACTIVE 2022-03-01 2027-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G21000029355 COSMETIC DERMATOLOGY OF FIRST COAST MOHS ACTIVE 2021-03-02 2026-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G17000003995 FIRST COAST MOHS OF MANDARIN ACTIVE 2017-01-11 2027-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G15000068170 FIRST COAST MOHS OF ORTEGA ACTIVE 2015-06-30 2025-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G15000028895 FIRST COAST MOHS OF PONTE VEDRA ACTIVE 2015-03-19 2025-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G15000013612 PONTE VEDRA MOHS OF FIRST COAST MOHS ACTIVE 2015-02-06 2025-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G14000030925 FIRST COAST MOHS ACTIVE 2014-03-27 2030-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G14000030917 DERMATOLOGY ASSOCIATES OF FIRST COAST MOHS EXPIRED 2014-03-27 2024-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
G11000085482 DERMATOLOGY ASSOCIATES ACTIVE 2011-08-29 2026-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE,, FL, 32216
G11000085495 FIRST COAST MOHS SKIN CANCER, RECONSTRUCTIVE AND COSMETIC SURGERY CENTER ACTIVE 2011-08-29 2026-12-31 No data 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2005-05-02 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216 No data
CHANGE OF MAILING ADDRESS 2005-05-02 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216 No data
REGISTERED AGENT ADDRESS CHANGED 2005-05-02 6890 BELFORT OAKS PLACE, JACKSONVILLE, FL 32216 No data
NAME CHANGE AMENDMENT 2002-07-31 SCOTT D. WARREN, M.D., P.A. No data
REGISTERED AGENT NAME CHANGED 2001-05-15 WARREN, SCOTT D No data
REINSTATEMENT 1997-05-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-05-05
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-04-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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