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  5. TOMAS E. DELGADO, M.D., P.A.

TOMAS E. DELGADO, M.D., P.A.

Company Details

Entity Name: TOMAS E. DELGADO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Feb 1992 (33 years ago)
Document Number: V12787
FEI/EIN Number 593105738
Address: 4121 HIGHLAND PARK CIR., LUTZ, FL, 33558, US
Mail Address: P. O. BOX 1618, LUTZ, FL, 33548, US
ZIP code: 33558
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457688152 2009-11-17 2011-11-09 6747 GALL BLVD, ZEPHYRHILLS, FL, 335422522, US 6747 GALL BLVD, ZEPHYRHILLS, FL, 335422522, US

Contacts
Phone +1 813-782-1070
Fax 8137806487

Authorized person
Name DR. TOMAS E. DELGADO
Role PRESIDENT
Phone 8137821070

Taxonomy
Taxonomy Code 207T00000X - Neurological Surgery Physician
License Number ME41204
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOMAS E. DELGADO, M.D., P.A. DEFINED BENEFIT PLAN 2015 593105738 2016-11-08 TOMAS E. DELGADO, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Signature of
Role Plan administrator
Date 2016-11-08
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. DEFINED BENEFIT PLAN 2015 593105738 2016-07-31 TOMAS E. DELGADO, M.D. P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Signature of
Role Plan administrator
Date 2016-07-30
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. 401(K) PROFIT SHARING PLAN 2015 593105738 2016-07-31 TOMAS E. DELGADO, M.D. P.A. 4
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Signature of
Role Plan administrator
Date 2016-07-30
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593105738 2016-12-31 TOMAS E. DELGADO, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Signature of
Role Plan administrator
Date 2016-12-31
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. DEFINED BENEFIT PLAN 2014 593105738 2015-05-29 TOMAS E. DELGADO, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Plan administrator’s name and address
Administrator’s EIN 593105738
Plan administrator’s name TOMAS E. DELGADO, M.D. P.A.
Plan administrator’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542
Administrator’s telephone number 8137801885

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. 401(K) PROFIT SHARING PLAN 2014 593105738 2015-05-29 TOMAS E. DELGADO, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Plan administrator’s name and address
Administrator’s EIN 593105738
Plan administrator’s name TOMAS E. DELGADO, M.D. P.A.
Plan administrator’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542
Administrator’s telephone number 8137801885

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. DEFINED BENEFIT PLAN 2013 593105738 2014-10-13 TOMAS E. DELGADO, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Plan administrator’s name and address
Administrator’s EIN 593105738
Plan administrator’s name TOMAS E. DELGADO, M.D. P.A.
Plan administrator’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542
Administrator’s telephone number 8137801885

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. 401(K) PROFIT SHARING PLAN 2013 593105738 2014-10-13 TOMAS E. DELGADO, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Plan administrator’s name and address
Administrator’s EIN 593105738
Plan administrator’s name TOMAS E. DELGADO, M.D. P.A.
Plan administrator’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542
Administrator’s telephone number 8137801885

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. DEFINED BENEFIT PLAN 2012 593105738 2013-06-06 TOMAS E. DELGADO, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Plan administrator’s name and address
Administrator’s EIN 593105738
Plan administrator’s name TOMAS E. DELGADO, M.D. P.A.
Plan administrator’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542
Administrator’s telephone number 8137801885

Signature of
Role Plan administrator
Date 2013-06-06
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature
TOMAS E. DELGADO, M.D. P.A. 401(K) PLAN 2012 593105738 2013-06-06 TOMAS E. DELGADO, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8137801885
Plan sponsor’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542

Plan administrator’s name and address
Administrator’s EIN 593105738
Plan administrator’s name TOMAS E. DELGADO, M.D. P.A.
Plan administrator’s address 6747 GALL BLVD., ZEPHYRHILLS, FL, 33542
Administrator’s telephone number 8137801885

Signature of
Role Plan administrator
Date 2013-06-06
Name of individual signing TOMAS DELGADO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DELGADO, TOMAS E. Agent 4121 HIGHLAND PARK CIR., LUTZ, FL, 33558

President

Name Role Address
DELGADO TOMAS EDr. President P. O. BOX 1618, LUTZ, FL, 33548

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-04-27 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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