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  5. BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC

BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC

Company Details

Entity Name: BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Apr 2008 (17 years ago)
Document Number: L08000042088
FEI/EIN Number 262508703
Address: 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952, US
Mail Address: 89 Vivante Blvd. Unit 405, Punta Gorda, FL, 33950, US
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588823389 2008-06-05 2008-10-08 21300 GERTRUDE AVE, SUITE 1, PORT CHARLOTTE, FL, 339525018, US 21300 GERTRUDE AVE, SUITE 1, PORT CHARLOTTE, FL, 339525018, US

Contacts
Phone +1 941-743-3311
Fax 9417433313

Authorized person
Name DR. STEPHANIE JOANNE SHELL
Role OWNER
Phone 9417433311

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS8267
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS FL
Number 38218
State FL
Issuer RAILROAD MEDICARE
Number DN4325
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2022 262508703 2024-02-15 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2024-02-15
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2021 262508703 2023-02-15 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2023-02-15
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2020 262508703 2021-10-14 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2019 262508703 2020-10-15 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2018 262508703 2019-10-15 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2017 262508703 2018-10-15 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2016 262508703 2018-01-31 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2015 262508703 2016-10-15 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2016-10-15
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 401(K) PLAN & TRUST 2014 262508703 2015-10-14 BLUE OCEAN HEALTHCARE PHYSICIANS GROUP, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-10-01
Business code 621111
Sponsor’s telephone number 9417433311
Plan sponsor’s address 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing STEVEN D. SHELL, D.O.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHELL STEVEN D Agent 89 Vivante Blvd. Unit 405, Punta Gorda, FL, 33950

Manager

Name Role Address
SHELL STEVEN D Manager 89 Vivante Blvd. Unit 405, Punta Gorda, FL, 33950
SHELL STEPHANIE J Manager 89 Vivante Blvd. Unit 405, Punta Gorda, FL, 33950

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-01-19 21300 GERTRUDE AVENUE, SUITE 1, PORT CHARLOTTE, FL 33952 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-19 89 Vivante Blvd. Unit 405, Punta Gorda, FL 33950 No data

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-02-26
ANNUAL REPORT 2022-01-16
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-03-19
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-01-11

Related by officers

SHELL STEVEN D

BLUE OCEAN HEALTHCARE, LLC EPIPHANY HEALTH PORT CHARLOTTE, LLC BUCKEYE INVESTMENTS, LLC

SHELL STEPHANIE J

BLUE OCEAN HEALTHCARE, LLC EPIPHANY HEALTH PORT CHARLOTTE, LLC BUCKEYE INVESTMENTS, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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