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  5. ALILIN FAMILY MEDICINE, LLC

ALILIN FAMILY MEDICINE, LLC

Company Details

Entity Name: ALILIN FAMILY MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Jan 2008 (17 years ago)
Document Number: L08000004338
FEI/EIN Number 300458058
Address: 7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792
Mail Address: 7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407020837 2008-04-16 2023-09-14 7221 ALOMA AVE, SUITE 200, WINTER PARK, FL, 327927119, US 1410 W BROADWAY ST STE 104, OVIEDO, FL, 327656537, US

Contacts
Phone +1 407-657-2111
Fax 8667254812

Authorized person
Name NICOLE LOZANO
Role CREDENTIALING COORDINATOR
Phone 4076572111

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2022 300458058 2024-01-22 ALILIN FAMILY MEDICINE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2021 300458058 2022-07-21 ALILIN FAMILY MEDICINE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2020 300458058 2021-10-13 ALILIN FAMILY MEDICINE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2019 300458058 2020-09-28 ALILIN FAMILY MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2018 300458058 2019-06-28 ALILIN FAMILY MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2017 300458058 2018-07-12 ALILIN FAMILY MEDICINE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2016 300458058 2017-06-12 ALILIN FAMILY MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing BEN D. ALILIN
Valid signature Filed with authorized/valid electronic signature
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2015 300458058 2016-06-21 ALILIN FAMILY MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing BEN D. ALILIN
Valid signature Filed with authorized/valid electronic signature
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2014 300458058 2015-09-28 ALILIN FAMILY MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITE 400, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing BEN D. ALILIN
Valid signature Filed with authorized/valid electronic signature
ALILIN FAMILY MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2013 300458058 2014-09-12 ALILIN FAMILY MEDICINE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4076572111
Plan sponsor’s address 7221 ALOMA AVE., SUITES 200-400B, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2014-09-11
Name of individual signing BEN ALILIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-11
Name of individual signing BEN ALILIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Morales Virginia Agent 7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792

Manager

Name Role Address
ALILIN E. ROGER J Manager 7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792
ALILIN BEN D Manager 7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792

Busi

Name Role Address
Morales Virginia P Busi 7221 ALOMA AVE SUITE 200, WINTER PARK, FL, 32792

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000087047 AFM HEALTHCARE EXPIRED 2019-08-17 2024-12-31 No data 7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-10 Morales, Virginia No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000146112 TERMINATED 1000000705198 ORANGE 2016-02-10 2036-02-25 $ 1,336.92 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556123

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-04-22
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-30

Related by officers

ALILIN E. ROGER J

LUKE INTERNATIONAL MINISTRIES, INC.

ALILIN BEN D

BEN D. ALILIN, M.D., PA

Related by address

7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792

BEN D. ALILIN, M.D., PA

7221 ALOMA AVENUE, SUITE 200, WINTER PARK, FL, 32792

BEN D. ALILIN, M.D., PA

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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