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  5. OCANA MEDICAL CENTER, LLC.

OCANA MEDICAL CENTER, LLC.

Company Details

Entity Name: OCANA MEDICAL CENTER, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Mar 2008 (17 years ago)
Document Number: L08000028912
FEI/EIN Number 262215795
Address: 6553 GUNN HWY WAY, TAMPA, FL, 33625, US
Mail Address: 6553 GUNN HWY WAY, TAMPA, FL, 33625, US
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508027657 2008-06-20 2009-04-17 6529 GUNN HIGHWAY, TAMPA, FL, 336254021, US 6529 GUNN HIGHWAY, TAMPA, FL, 336254021, US

Contacts
Phone +1 813-968-8314
Fax 8139613096

Authorized person
Name DR. ANTONIO L OCANA
Role PHYSICIAN/OWNER
Phone 8139688314

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME 95608
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 276616700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCANA MEDICAL CENTER 401(K) PLAN 2023 262215795 2024-08-20 OCANA MEDICAL CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8137894689
Plan sponsor’s address 6553 GUNN HWY, TAMPA, FL, 33625
OCANA MEDICAL CENTER PENSION PLAN 2023 262215795 2024-09-17 OCANA MEDICAL CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 336254021

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing ANTONIO L. OCANA JR.
Valid signature Filed with authorized/valid electronic signature
OCANA MEDICAL CENTER PENSION PLAN 2022 262215795 2023-10-02 OCANA MEDICAL CENTER, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 336254021
OCANA MEDICAL CENTER 401(K) PLAN 2022 262215795 2023-08-03 OCANA MEDICAL CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8137894689
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 33625
OCANA MEDICAL CENTER PENSION PLAN 2021 262215795 2022-10-14 OCANA MEDICAL CENTER, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 336254021
OCANA MEDICAL CENTER 401(K) PLAN 2021 262215795 2022-10-05 OCANA MEDICAL CENTER, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 33625
OCANA MEDICAL CENTER 401(K) PLAN 2020 262215795 2021-10-14 OCANA MEDICAL CENTER, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8137894689
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 33625
OCANA MEDICAL CENTER PENSION PLAN 2020 262215795 2021-08-11 OCANA MEDICAL CENTER, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 336254021
OCANA MEDICAL CENTER 401(K) PLAN 2019 262215795 2020-10-12 OCANA MEDICAL CENTER, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 33625
OCANA MEDICAL CENTER PENSION PLAN 2019 262215795 2020-10-02 OCANA MEDICAL CENTER, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8139688314
Plan sponsor’s address 6553 GUNN HIGHWAY, TAMPA, FL, 336254021

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing ANTONIO L. OCANA, JR.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OCANA ANTONIO L Agent 6553 GUNN HWY WAY, TAMPA, FL, 33625

Manager

Name Role Address
OCANA ANTONIO L Manager 6553 GUNN HWY WAY, TAMPA, FL, 33625
OCANA GIPSY Manager 6553 GUNN HWY WAY, TAMPA, FL, 33625

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-24 6553 GUNN HWY WAY, TAMPA, FL 33625 No data
CHANGE OF MAILING ADDRESS 2017-01-24 6553 GUNN HWY WAY, TAMPA, FL 33625 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-24 6553 GUNN HWY WAY, TAMPA, FL 33625 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-01-07
ANNUAL REPORT 2015-01-21

Related by officers

OCANA ANTONIO L

AGLG CLASSIC, LLC OCANA, LLC

OCANA GIPSY

AGLG CLASSIC, LLC AGLG CLASSIC, LLC OCANA, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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