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  5. DIGESTIVE DISEASE SPECIALISTS P.L.

DIGESTIVE DISEASE SPECIALISTS P.L.

Company Details

Entity Name: DIGESTIVE DISEASE SPECIALISTS P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Dec 2005 (19 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 01 Oct 2007 (17 years ago)
Document Number: L05000121534
FEI/EIN Number NOT APPLICABLE
Address: 11505 PALMBRUSH TRAIL, SUITE 200, LAKEWOOD RANCH, FL, 34202, US
Mail Address: 11505 Palmbrush Trail, Suite 200, LAKEWOOD RANCH, FL, 34202, US
ZIP code: 34202
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700089828 2007-06-06 2007-11-23 8374 MARKET ST, #475, BRADENTON, FL, 342025137, US 8340 LAKEWOOD RANCH BLVD, SUITE 101, BRADENTON, FL, 342025180, US

Contacts
Phone +1 941-361-1100

Authorized person
Name DR. ARUN PUNWANI KHAZANCHI
Role PRESIDENT
Phone 9413886976

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME86268
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE PTAN
Number E8467Y
State FL
Issuer GROUP PTAN
Number AE633
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIGESTIVE DISEASE SPECIALISTS 401K PLAN 2011 204114023 2012-06-19 DIGESTIVE DISEASE SPECIALISTS, P.L. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9413611100
Plan sponsor’s address 7819 MATHERN COURT, BRADENTON, FL, 34202

Plan administrator’s name and address
Administrator’s EIN 204114023
Plan administrator’s name DIGESTIVE DISEASE SPECIALISTS, P.L.
Plan administrator’s address 7819 MATHERN COURT, BRADENTON, FL, 34202
Administrator’s telephone number 9413611100

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-18
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
DIGESTIVE DISEASE SPECIALISTS 401(K) PLAN 2011 204114023 2012-07-11 DIGESTIVE DISEASE SPECIALISTS, P.L. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9413611100
Plan sponsor’s address 7819 MATHERN COURT, BRADENTON, FL, 34202

Plan administrator’s name and address
Administrator’s EIN 204114023
Plan administrator’s name DIGESTIVE DISEASE SPECIALISTS, P.L.
Plan administrator’s address 7819 MATHERN COURT, BRADENTON, FL, 34202
Administrator’s telephone number 9413611100

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
DIGESTIVE DISEASE SPECIALISTS 401K PLAN 2010 204114023 2012-06-18 DIGESTIVE DISEASE SPECIALISTS, P.L. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9413611100
Plan sponsor’s address 7819 MATHERN COURT, BRADENTON, FL, 34202

Plan administrator’s name and address
Administrator’s EIN 204114023
Plan administrator’s name DIGESTIVE DISEASE SPECIALISTS, P.L.
Plan administrator’s address 7819 MATHERN COURT, BRADENTON, FL, 34202
Administrator’s telephone number 9413611100

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-18
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
DIGESTIVE DISEASE SPECIALISTS 401K PLAN 2010 204114023 2011-09-19 DIGESTIVE DISEASE SPECIALISTS, P.L. 5
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9413611100
Plan sponsor’s address 7819 MATHERN COURT, BRADENTON, FL, 34202

Plan administrator’s name and address
Administrator’s EIN 204114023
Plan administrator’s name DIGESTIVE DISEASE SPECIALISTS, P.L.
Plan administrator’s address 7819 MATHERN COURT, BRADENTON, FL, 34202
Administrator’s telephone number 9413611100

Signature of
Role Plan administrator
Date 2011-09-19
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature
DIGESTIVE DISEASE SPECIALISTS 401K PLAN 2009 204114023 2010-09-14 DIGESTIVE DISEASE SPECIALISTS, P.L. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9413611100
Plan sponsor’s address 7819 MATHERN COURT, BRADENTON, FL, 34202

Plan administrator’s name and address
Administrator’s EIN 204114023
Plan administrator’s name DIGESTIVE DISEASE SPECIALISTS, P.L.
Plan administrator’s address 7819 MATHERN COURT, BRADENTON, FL, 34202
Administrator’s telephone number 9413611100

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing DR. ARUN KHAZANCHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KHAZANCHI ARUN MD Agent 11505 Palmbrush Trail, LAKEWOOD RANCH, FL, 34202

Managing Member

Name Role Address
KHAZANCHI ARUN M Managing Member 11505 Palmbrush Trail, LAKEWOOD RANCH, FL, 34202

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-22 11505 PALMBRUSH TRAIL, SUITE 200, LAKEWOOD RANCH, FL 34202 No data
CHANGE OF MAILING ADDRESS 2015-04-22 11505 PALMBRUSH TRAIL, SUITE 200, LAKEWOOD RANCH, FL 34202 No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-22 11505 Palmbrush Trail, Suite 200, LAKEWOOD RANCH, FL 34202 No data
REGISTERED AGENT NAME CHANGED 2014-01-27 KHAZANCHI, ARUN, MD No data
LC NAME CHANGE 2007-10-01 DIGESTIVE DISEASE SPECIALISTS P.L. No data
CANCEL ADM DISS/REV 2006-12-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-03-19
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-04-22

Related by officers

KHAZANCHI ARUN M

ANESTHESIA INNOVATIONS LLC ROSABELLA SHEK, M.D., LLC APRILL GASTROENTEROLOGY, LLC BRADENTON GASTROENTEROLOGY, LLC SARASOTA DIGESTIVE HEALTH SPECIALISTS, LLC CONSTANTINE G. MAROUSIS, M.D., LLC RAMON E. COLINA, M.D., LLC FLORIDA DIGESTIVE ANESTHESIA, LLC SARASOTA ENDO INVESTORS, LLC

KHAZANCHI ARUN MD

PETER R. DUMAS, M.D., LLC

Related by address

11505 PALMBRUSH TRAIL, SUITE 200, LAKEWOOD RANCH, FL, 34202, US

HARUN, L.L.C.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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