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  5. MILLENNIUM MEDICAL MANAGEMENT, LLC

MILLENNIUM MEDICAL MANAGEMENT, LLC

Company Details

Entity Name: MILLENNIUM MEDICAL MANAGEMENT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Dec 2006 (18 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 10 Oct 2008 (16 years ago)
Document Number: L06000120649
FEI/EIN Number 208071005
Address: 7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940, US
Mail Address: 7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366645376 2007-06-07 2022-03-17 7955 SPYGLASS HILL RD STE A, MELBOURNE, FL, 329408249, US 7955 SPYGLASS HILL RD STE A, MELBOURNE, FL, 329408249, US

Contacts
Phone +1 321-255-6670
Fax 3212422545

Authorized person
Name SUN MEE DEUKMEDJIAN
Role FINANCIAL OFFICER
Phone 3217751290

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME84856
State FL
Is Primary No
Taxonomy Code 207T00000X - Neurological Surgery Physician
License Number ME82061
State FL
Is Primary Yes
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number ME95180
State FL
Is Primary No
Taxonomy Code 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
License Number ME95180
State FL
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number ME93866
State FL
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number ME111580
State FL
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number OS12589
State FL
Is Primary No
Taxonomy Code 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
License Number ME93866
State FL
Is Primary No
Taxonomy Code 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
License Number ME111580
State FL
Is Primary No
Taxonomy Code 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
License Number OS12589
State FL
Is Primary No
Taxonomy Code 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
License Number ME93866
State FL
Is Primary No
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number ME93866
State FL
Is Primary No
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number ME111580
State FL
Is Primary No
Taxonomy Code 261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
License Number IAC ACCREDITED 7422
State FL
Is Primary No
Taxonomy Code 363AS0400X - Surgical Physician Assistant
License Number PA9105911
State FL
Is Primary No

Other Provider Identifiers
Issuer BCBSFL
Number 33435
State FL
Issuer AETNA
Number 3612958
State FL
Issuer MEDICARE RAILROAD CARRIER
Number DG6510
State FL
Issuer DOL ASC
Number 613998300
State FL
Issuer CIGNA
Number 2921108
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2023 208071005 2024-10-03 MILLENNIUM MEDICAL MANAGEMENT, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBORNE, FL, 32940

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing KAREN FOLEY
Valid signature Filed with authorized/valid electronic signature
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2022 208071005 2023-05-02 MILLENNIUM MEDICAL MANAGEMENT, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2023-05-01
Name of individual signing KAREN FOLEY
Valid signature Filed with authorized/valid electronic signature
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2021 208071005 2022-08-16 MILLENNIUM MEDICAL MANAGEMENT, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing KAREN FOLEY
Valid signature Filed with authorized/valid electronic signature
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2020 208071005 2021-05-18 MILLENNIUM MEDICAL MANAGEMENT, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2019 208071005 2020-04-30 MILLENNIUM MEDICAL MANAGEMENT, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2018 208071005 2019-09-19 MILLENNIUM MEDICAL MANAGEMENT, LLC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2017 208071005 2018-07-24 MILLENNIUM MEDICAL MANAGEMENT, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940
MILLENNIUM MEDICAL MANAGEMENT, LLC 401(K) PLAN 2016 208071005 2017-05-18 MILLENNIUM MEDICAL MANAGEMENT, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3217751288
Plan sponsor’s address 7955 SPYGLASS HILL ROAD, SUITE A, MELBOURNE, FL, 32940

Agent

Name Role Address
DEUKMEDJIAN ARA Agent 7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940

Manager

Name Role Address
DEUKMEDJIAN ARA M Manager 7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940
DEUKMEDJIAN SUN Manager 7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000063970 DEUK JOINT INSTITUTE ACTIVE 2023-05-23 2028-12-31 No data 7955 SPYGLASS HILL RD STE A, MELBOURNE, FL, 32940
G23000063976 DEUK SPINE AND JOINT INSTITUTE ACTIVE 2023-05-23 2028-12-31 No data 7955 SPYGLASS HILL RD STE A, MELBOURNE, FL, 32940
G19000080187 INJURY TREATMENT GROUP EXPIRED 2019-07-26 2024-12-31 No data 7955 SPYGLASS HILL RD STE A, MELBOURNE, FL, 32940
G17000138711 PRIMARY CARE OF BREVARD ACTIVE 2017-12-19 2027-12-31 No data 7955 SPYGLASS HILL RD, STE A, MELBOURNE, FL, 32940
G09076900380 DEUK LASER SPINE INSTITUTE ACTIVE 2009-03-17 2029-12-31 No data 7955 SPYGLASS HILL RD., SUITE A, MELBOURNE, FL, 32940
G07135700001 DEUK SPINE INSTITUTE ACTIVE 2007-05-15 2027-12-31 No data 7955 SPYGLASS HILL RD, SUITE A, MELBOURNE, FL, 32940

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-10 DEUKMEDJIAN, ARA No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-23 7955 SPYGLASS HILL RD, SUITE A, MELBOURNE, FL 32940 No data
CHANGE OF MAILING ADDRESS 2015-01-23 7955 SPYGLASS HILL RD, SUITE A, MELBOURNE, FL 32940 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-23 7955 SPYGLASS HILL RD, SUITE A, MELBOURNE, FL 32940 No data
CANCEL ADM DISS/REV 2008-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-23

Related by officers

DEUKMEDJIAN ARA M

STAR MEDICAL, LLC

DEUKMEDJIAN SUN

STAR MEDICAL, LLC ARIANNA DEVELOPMENT L.L.C. SURGERY CENTER OF VIERA, L.L.C. SCV PHYSICIANS, LLC DEUK SPINAL NEEDLE, LLC STAR SURGICAL, LLC PRIME CORAL, LLC SPYGLASS EXECUTIVE CENTER MANAGEMENT COMPANY LLC 7965 DEVELOPMENT, LLC SCV EQUIPMENT HOLDING, LLC

DEUKMEDJIAN ARA

ARIANNA DEVELOPMENT L.L.C. SURGERY CENTER OF VIERA, L.L.C. SCV PHYSICIANS, LLC DEUK SPINAL NEEDLE, LLC STAR SURGICAL, LLC PRIME CORAL, LLC SPYGLASS EXECUTIVE CENTER MANAGEMENT COMPANY LLC 7965 DEVELOPMENT, LLC PANACEA SPINE, INC. MILLENIA MEDICAL DEVELOPMENT LLC

Related by address

7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940, US

STAR MEDICAL, LLC ARIANNA DEVELOPMENT L.L.C. VMC PARTNERS, LLC

7955 SPYGLASS HILL RD, MELBOURNE, FL, 32940, US

STAR MEDICAL, LLC ARIANNA DEVELOPMENT L.L.C. VMC PARTNERS, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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