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  5. CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC

CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC

Company Details

Entity Name: CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Aug 2006 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Jan 2024 (a year ago)
Document Number: L06000083370
FEI/EIN Number 261580698
Address: 5301 N. DIXIE HIGHWAY, SUITE 202, OAKLAND PARK, FL, 33334, US
Mail Address: 4160 NW 1st Ave, SUITE 58, BOCA RATON, FL, 33431, US
ZIP code: 33334
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265628424 2007-09-21 2008-01-09 2021 E COMMERCIAL BLVD, SUITE 202, FT LAUDERDALE, FL, 333083763, US 2021 E COMMERCIAL BLVD, SUITE 202, FT LAUDERDALE, FL, 333083763, US

Contacts
Phone +1 954-202-7850
Fax 9542027781

Authorized person
Name V. ALIN BOTOMAN
Role FACG/FACP
Phone 9542027850

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2015 261580698 2016-07-05 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 1325 SOUTH CONGRESS AVE. SUITE 211, BOYNTON BEACH, FL, 33426

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing CAROLINE DELBEEK
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2014 261580698 2015-09-02 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE., SUITE 11, BOCA RATON, FL, 33431

Signature of
Role Plan administrator
Date 2015-09-02
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2013 261580698 2014-10-13 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2013 261580698 2014-09-10 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC No data
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2011 261580698 2012-05-15 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address
Administrator’s EIN 261580698
Plan administrator’s name CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Plan administrator’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2010 261580698 2011-10-31 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5617402900
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address
Administrator’s EIN 261580698
Plan administrator’s name CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Plan administrator’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5617402900

Signature of
Role Plan administrator
Date 2011-10-31
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2009 261580698 2011-10-31 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4260 NW FIRST AVE SUITE 152, BOCA RATON, FL, 33431

Plan administrator’s name and address
Administrator’s EIN 261580698
Plan administrator’s name CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Plan administrator’s address 4260 NW FIRST AVE SUITE 152, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of
Role Plan administrator
Date 2011-10-31
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bloom John DJr. Agent 2510 NE 46th St, Fort Lauderdale, FL, 33308

Manager

Name Role Address
BABAIAN MANUEL Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
KOSCHES DANIEL Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Zakko Wisam Dr. Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Singer Lieb Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Lopez Arturo Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Dosch Mark Manager 1325 South Congress Ave, Boynton Beach, FL, 33426

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-03 No data No data
REGISTERED AGENT NAME CHANGED 2024-01-03 Bloom, John D, Jr. No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-03 2510 NE 46th St, Fort Lauderdale, FL 33308 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-29 5301 N. DIXIE HIGHWAY, SUITE 202, OAKLAND PARK, FL 33334 No data
CHANGE OF MAILING ADDRESS 2019-03-15 5301 N. DIXIE HIGHWAY, SUITE 202, OAKLAND PARK, FL 33334 No data

Documents

Name Date
REINSTATEMENT 2024-01-03
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-29
AMENDED ANNUAL REPORT 2019-07-15
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-03-16
AMENDED ANNUAL REPORT 2016-05-19
ANNUAL REPORT 2016-03-30

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MANUEL BABAIAN, M.D., P.A.

Lopez Arturo

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Related by address

4160 NW 1st Ave, SUITE 58, BOCA RATON, FL, 33431, US

SHARPE FAMILY, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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