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  5. JEFFREY ROTHSTEIN, D.O., P.A.

JEFFREY ROTHSTEIN, D.O., P.A. - Florida Company Profile

Company Details

Entity Name: JEFFREY ROTHSTEIN, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JEFFREY ROTHSTEIN, D.O., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 03 Feb 1992 (33 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Dec 1996 (28 years ago)
Document Number: V12524
FEI/EIN Number 650322309

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL, 33021, US
Mail Address: 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL, 33021, US
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326014762 2006-02-26 2007-11-29 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL, 330213564, US 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL, 330213564, US

Contacts
Phone +1 954-963-6530
Fax 9549638587

Authorized person
Name DR. JEFFREY ROTHSTEIN
Role PRESIDENT
Phone 9549636530

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2022 650322309 2023-10-12 JEFFREY ROTHSTEIN, D.O.,P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2021 650322309 2022-10-17 JEFFREY ROTHSTEIN, D.O.,P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2020 650322309 2021-09-29 JEFFREY ROTHSTEIN, D.O.,P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2019 650322309 2020-10-14 JEFFREY ROTHSTEIN, D.O.,P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2018 650322309 2019-10-15 JEFFREY ROTHSTEIN, D.O.,P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2017 650322309 2018-07-09 JEFFREY ROTHSTEIN, D.O.,P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2016 650322309 2017-09-27 JEFFREY ROTHSTEIN, D.O.,P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-27
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
401(K) FOR JEFFREY ROTHSTEIN, D. O. , P. A. 2015 650322309 2016-05-25 JEFFREY ROTHSTEIN, D.O.,P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9549636530
Plan sponsor’s address 4030 SHERIDAN STREET, SUITE A, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing JEFFREY ROTHSTEIN
Valid signature Filed with incorrect/unrecognized electronic signature

Key Officers & Management

Name Role Address
ROTHSTEIN JEFFREY Dr. President 4030 SHERIDAN ST, HOLLYWOOD, FL, 33021
ROTHSTEIN JEFFREY P Agent 4030 SHERIDAN ST, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-01-28 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL 33021 -
CHANGE OF MAILING ADDRESS 2005-07-04 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL 33021 -
REGISTERED AGENT NAME CHANGED 2005-07-04 ROTHSTEIN, JEFFREY P -
REGISTERED AGENT ADDRESS CHANGED 2005-07-04 4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL 33021 -
REINSTATEMENT 1996-12-13 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 - -

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-03-03
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-26

Companies related by officers

No other companies in our directory share the same officers as JEFFREY ROTHSTEIN, D.O., P.A.

Companies related by address

4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL, 33021, US

J&L ROTHSTEIN, LLC

4030 SHERIDAN ST, SUITE A, HOLLYWOOD, FL, 33021, US

J&L ROTHSTEIN, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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