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  5. HASAN MEDICAL CENTER, PLC

HASAN MEDICAL CENTER, PLC

Company Details

Entity Name: HASAN MEDICAL CENTER, PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 Sep 2005 (19 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L05000086512
FEI/EIN Number 203397907
Address: 6503 Spanish Moss Circle, TAMPA, FL, 33625, US
Mail Address: 6503 Spanish Moss Circle, TAMPA, FL, 33625, US
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821196163 2006-09-20 2011-12-06 5420 WEBB RD STE B2, TAMPA, FL, 336153255, US 5420 WEBB RD STE B2, TAMPA, FL, 336153255, US

Contacts
Phone +1 813-868-6188
Fax 8138686189

Authorized person
Name TARIK HASAN
Role DOCTOR
Phone 8136009039

Taxonomy
Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
License Number ME69066
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 378585800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HASAN MEDICAL CENTER, PLC 2018 203397907 2019-11-07 HASAN MEDICAL CENTER, PLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8136009039
Plan sponsor’s address 1448 VICTORIA BLVD., ROCKLEDGE, FL, 32955
HASAN MEDICAL CENTER, PLC 401(K) SAVINGS PLAN 2018 203397907 2019-10-12 HASAN MEDICAL CENTER, PLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8136009039
Plan sponsor’s address 1448 VICTORIA BLVD., ROCKLEDGE, FL, 32955
HASAN MEDICAL CENTER, PLC 401(K) SAVINGS PLAN 2017 203397907 2018-06-04 HASAN MEDICAL CENTER, PLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138686188
Plan sponsor’s address 7142 HIAWASSEE OVERLOOK DR., ORLANDO, FL, 328351700
HASAN MEDICAL CENTER, PLC 401(K) SAVINGS PLAN 2016 203397907 2017-10-10 HASAN MEDICAL CENTER, PLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138686188
Plan sponsor’s address 5420 WEBB RD., SUITE B-2, TEMPA, FL, 336153255
HASAN MEDICAL CENTER, PLC 401(K) SAVINGS PLAN 2015 203397907 2016-06-24 HASAN MEDICAL CENTER, PLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138686188
Plan sponsor’s address 5420 WEBB RD., SUITE B-2, TEMPA, FL, 336153255
HASAN MEDICAL CENTER, PLC 401(K) SAVINGS PLAN 2014 203397907 2015-05-28 HASAN MEDICAL CENTER, PLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138686188
Plan sponsor’s address 5420 WEBB RD., SUITE B-2, TEMPA, FL, 336153255
HASAN MEDICAL CENTER, PLC 401(K) SAVINGS PLAN 2013 203397907 2014-10-14 HASAN MEDICAL CENTER, PLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138686188
Plan sponsor’s address 5420 WEBB RD., SUITE B-2, TEMPA, FL, 336153255

Agent

Name Role Address
HASAN TARIK KDr. Agent 6503 Spanish Moss Circle, TAMPA, FL, 33625

Manager

Name Role Address
HASAN TARIK Dr. Manager 6503 Spanish Moss Circle, TAMPA, FL, 33625

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000083041 TARIK K HASAN MD EXPIRED 2012-08-22 2017-12-31 No data 10207 RADCLIFFE DR, TAMPA, FL, 33626
G10000007072 HASAN MEDICAL GROUP EXPIRED 2010-01-22 2015-12-31 No data 10207 RADCLIFFE DR, TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-01-27 6503 Spanish Moss Circle, TAMPA, FL 33625 No data
CHANGE OF MAILING ADDRESS 2018-01-27 6503 Spanish Moss Circle, TAMPA, FL 33625 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-27 6503 Spanish Moss Circle, TAMPA, FL 33625 No data
REGISTERED AGENT NAME CHANGED 2013-02-16 HASAN, TARIK K, Dr. No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2005-09-02 HASAN MEDICAL CENTER, PLC No data

Documents

Name Date
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-02-13
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-02-16
ANNUAL REPORT 2012-01-21
ANNUAL REPORT 2011-01-08
ANNUAL REPORT 2010-01-07
ANNUAL REPORT 2009-03-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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