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  5. ABA FAMILY MEDICINE, LLC

ABA FAMILY MEDICINE, LLC

Company Details

Entity Name: ABA FAMILY MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 05 May 2003 (22 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L03000016126
FEI/EIN Number 364530402
Address: 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL, 32174, 22
Mail Address: 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL, 32174, 22
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760679088 2007-10-01 2007-10-01 325 CLYDE MORRIS BLVD, SUITE 320, ORMOND BEACH, FL, 321748178, US 325 CLYDE MORRIS BLVD, SUITE 320, ORMOND BEACH, FL, 321748178, US

Contacts
Phone +1 386-676-2367
Fax 3866156402

Authorized person
Name DR. DIEGO T TORRES II
Role MANAGING MEMBER
Phone 3866762367

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME79483
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE RAILROAD
Number DA2451
State FL
Issuer MEDICARE GROUP NUMBER
Number K4519
State FL
Issuer MEDICARE RAILROAD INDIVID
Number P00039042
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ABA FAMILY MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2012 364530402 2013-07-11 ABA FAMILY MEDICINE LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3866152367
Plan sponsor’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 321748179

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing ABA FAMILY MEDICINE LLC
Valid signature Filed with authorized/valid electronic signature
ABA FAMILY MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2012 364530402 2013-07-11 ABA FAMILY MEDICINE LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3866152367
Plan sponsor’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 321748179

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing ABA FAMILY MEDICINE LLC
Valid signature Filed with authorized/valid electronic signature
ABA FAMILY MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2011 364530402 2012-06-12 ABA FAMILY MEDICINE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3866152367
Plan sponsor’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 321748179

Plan administrator’s name and address
Administrator’s EIN 364530402
Plan administrator’s name ABA FAMILY MEDICINE LLC
Plan administrator’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 321748179
Administrator’s telephone number 3866152367

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing ABA FAMILY MEDICINE LLC
Valid signature Filed with authorized/valid electronic signature
ABA FAMILY MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2010 364530402 2011-05-25 ABA FAMILY MEDICINE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3866152367
Plan sponsor’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 364530402
Plan administrator’s name ABA FAMILY MEDICINE LLC
Plan administrator’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866152367

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing ABA FAMILY MEDICINE LLC
Valid signature Filed with authorized/valid electronic signature
ABA FAMILY MEDICINE LLC 401 (K) PROFIT SHARING PLAN AND TRUST 2010 364530402 2011-05-25 ABA FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3866152367
Plan sponsor’s mailing address 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL, 32174
Plan sponsor’s address 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 364530402
Plan administrator’s name ABA FAMILY MEDICINE
Plan administrator’s address 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866152367

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing DIEGO TORRES MD
Valid signature Filed with authorized/valid electronic signature
ABA FAMILY MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2009 364530402 2011-05-25 ABA FAMILY MEDICINE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3866152367
Plan sponsor’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 364530402
Plan administrator’s name ABA FAMILY MEDICINE LLC
Plan administrator’s address 325 CLYDE MORRIS BLVD STE 320, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866152367

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing ABA FAMILY MEDICINE LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TORRES DIEGO T Agent 325 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 32174

Managing Member

Name Role Address
TORRES DIEGO T Managing Member 325 CLYDE MORRIS BLVD SUITE 320, ORMOND BEACH, FL, 32174
CARRIE TORRES Managing Member 95 BLACK HICKORY WAY, ORMOND BEACH, FL, 32174

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2011-04-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-04-19 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL 32174 22 No data
CHANGE OF MAILING ADDRESS 2011-04-19 325 CLYDE MORRIS BLVD., SUITE 320, ORMOND BEACH, FL 32174 22 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2004-03-31 325 CLYDE MORRIS BLVD, SUITE 320, ORMOND BEACH, FL 32174 No data

Documents

Name Date
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-10
ANNUAL REPORT 2014-03-19
ANNUAL REPORT 2013-02-20
ANNUAL REPORT 2012-06-12
REINSTATEMENT 2011-04-19
ANNUAL REPORT 2009-01-26

Related by officers

TORRES DIEGO T

ESTEEM SKIN CARE CENTER, LLC CARRIEGO ENTERPRISES LLC DTT HOLDINGS, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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