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  5. MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC

MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC

Company Details

Entity Name: MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Oct 2006 (18 years ago)
Document Number: L06000099577
FEI/EIN Number 205689196
Address: 1502 HUBBARD CT, CELEBRATION, FL, 34747, US
Mail Address: 1502 HUBBARD CT, CELEBRATION, FL, 34747, US
ZIP code: 34747
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740378009 2006-10-11 2011-04-13 10000 W COLONIAL DR STE 389, OCOEE, FL, 347613433, US 10000 W COLONIAL DR STE 389, OCOEE, FL, 347613433, US

Contacts
Phone +1 407-822-1171
Fax 4078221172

Authorized person
Name DR. MOHAMMAD REZA MASTALI
Role OWNER
Phone 4078221171

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer INDIVIDUAL NPI #
Number 1689762924
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PROFIT SHARING PLAN 2021 205689196 2022-10-17 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE, SUITE 389, OCOEE, FL, 34761
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PROFIT SHARING PLAN 2020 205689196 2021-10-01 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE, SUITE 389, OCOEE, FL, 34761
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PROFIT SHARING PLAN 2019 205689196 2020-09-28 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE, SUITE 389, OCOEE, FL, 34761
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PROFIT SHARING PLAN 2018 205689196 2019-10-14 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE, SUITE 389, OCOEE, FL, 34761
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PROFIT SHARING PLAN 2017 205689196 2018-10-05 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE, SUITE 389, OCOEE, FL, 34761
MID-FLORIDA GASTROENTEROLOGY 2016 205689196 2017-06-21 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4073670240
Plan sponsor’s address 10000 WEST COLONIAL DRIVE SUITE 389, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing MOHAMMAD R. MASTALI
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA GASTROENTEROLOGY 2015 205689196 2016-05-26 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4073670240
Plan sponsor’s address 10000 WEST COLONIAL DRIVE SUITE 389, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing MOHAMMAD R. MASTALI
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PR SH PLAN 2014 205689196 2015-05-13 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4073670240
Plan sponsor’s address 10000 WEST COLONIAL DRIVE SUITE 389, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2015-05-13
Name of individual signing MOHAMMAD R. MASTALI
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PR SH PLAN 2013 205689196 2014-09-26 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE SUITE 389, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2014-09-26
Name of individual signing MOHAMMAD R. MASTALI
Valid signature Filed with authorized/valid electronic signature
MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 401(K) PR SH PLAN 2012 205689196 2013-08-07 MID-FLORIDA GASTROENTEROLOGY CONSULTANTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3219390238
Plan sponsor’s address 10000 WEST COLONIAL DRIVE SUITE 389, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2013-08-07
Name of individual signing MOHAMMAD R. MASTALI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-07
Name of individual signing MOHAMMAD R. MASTALI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MASTALI MOHAMMAD R Agent 1502 HUBBARD CT, CELEBRATION, FL, 34747

Dr

Name Role Address
Mastali Mohammad R Dr 1502 HUBBARD CT, CELEBRATION, FL, 34747

Manager

Name Role Address
Mastali Sandra L Manager 1502 HUBBARD CT, CELEBRATION, FL, 34747

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-25 1502 HUBBARD CT, CELEBRATION, FL 34747 No data
CHANGE OF MAILING ADDRESS 2023-04-25 1502 HUBBARD CT, CELEBRATION, FL 34747 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-25 1502 HUBBARD CT, CELEBRATION, FL 34747 No data

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-16
ANNUAL REPORT 2016-04-17
ANNUAL REPORT 2015-04-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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