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JOSE C. MARTIN, M.D., P.A.

Company Details

Entity Name: JOSE C. MARTIN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Sep 1992 (32 years ago)
Document Number: V62653
FEI/EIN Number 65-0374575
Address: 6850 Coral Way, MIAMI, FL 33155
Mail Address: 2400 SW 69th Avenue, MIAMI, FL 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2020 650374575 2021-06-29 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2021-06-29
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2019 650374575 2020-02-17 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2020-02-17
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2018 650374575 2019-08-22 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2019-08-22
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2017 650374575 2019-08-22 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2019-08-22
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2017 650374575 2018-03-20 JOSE C MARTIN, M.D., P.A 2
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2018-03-20
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2016 650374575 2017-10-05 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
Administrator’s telephone number 3054126323
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2015 650374575 2017-10-11 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
Administrator’s telephone number 3054126323
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2015 650374575 2016-10-12 JOSE C MARTIN, M.D., P.A 2
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2015 650374575 2017-04-05 JOSE C MARTIN, M.D., P.A 2
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
Administrator’s telephone number 3054126323
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN 2014 650374575 2015-07-07 JOSE C MARTIN, M.D., P.A 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3054126323
Plan sponsor’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173

Plan administrator’s name and address

Administrator’s EIN 650374575
Plan administrator’s name JOSE C. MARTIN, M.D., P.A
Plan administrator’s address 9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
Administrator’s telephone number 3054126323

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing JOSE C. MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Sztyndor, Robyn Lynn, Esq. Agent 2400 SW 69th Avenue, MIAMI, FL 33155

Director

Name Role
PREMIUM HEALTHCARE MANAGEMENT, LLC Director

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-18 Sztyndor, Robyn Lynn, Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-18 2400 SW 69th Avenue, MIAMI, FL 33155 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-18 6850 Coral Way, MIAMI, FL 33155 No data
CHANGE OF MAILING ADDRESS 2022-04-18 6850 Coral Way, MIAMI, FL 33155 No data

Documents

Name Date
ANNUAL REPORT 2024-02-18
ANNUAL REPORT 2023-04-17
AMENDED ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-30
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-03-29

Date of last update: 03 Feb 2025

Sources: Florida Department of State