Search icon

MARTIN PRIMARY CARE LLC

Company Details

Entity Name: MARTIN PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Sep 2008 (16 years ago)
Document Number: L08000089588
FEI/EIN Number 263397636
Address: 1001 S E Ocean BLVD, STUART, FL, 24996, US
Mail Address: P.O.BOX 592, JUPITER, FL, 33458
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700036951 2008-09-24 2009-01-13 3257 SE SALERNO RD, STUART, FL, 349976736, US 3257 SE SALERNO RD, STUART, FL, 349976736, US

Contacts

Phone +1 772-287-9144

Authorized person

Name AHMAD FADEL
Role MEMBER
Phone 7722879143

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME 85669
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2023 263397636 2024-11-18 MARTIN PRIMARY CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address P.O. BOX 592, JUPITER, FL, 33459

Signature of

Role Plan administrator
Date 2024-11-16
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2023 263397636 2024-10-05 MARTIN PRIMARY CARE LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address P.O. BOX 592, JUPITER, FL, 33459

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2022 263397636 2023-10-03 MARTIN PRIMARY CARE LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2022 263397636 2024-11-18 MARTIN PRIMARY CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2024-11-16
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2021 263397636 2022-09-27 MARTIN PRIMARY CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2022-09-25
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2020 263397636 2021-08-11 MARTIN PRIMARY CARE LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2021-08-11
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2019 263397636 2020-10-14 MARTIN PRIMARY CARE LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2018 263397636 2019-04-22 MARTIN PRIMARY CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2019-04-20
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2017 263397636 2018-10-05 MARTIN PRIMARY CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature
MARTIN PRIMARY CARE LLC DEFINED BENEFIT PENSION PLAN 2016 263397636 2017-09-27 MARTIN PRIMARY CARE LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7723418221
Plan sponsor’s address 116 GLENCULLEN CIRCLE, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2017-09-26
Name of individual signing AHMAD FADEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FADEL AHMAD Agent 1001 SE Ocean BLVD, stuart, FL, 34996

Manager

Name Role Address
AHMAD FADEL Manager 1001 SE Ocean BLVd, stuart, FL, 34996

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-04 1001 S E Ocean BLVD, Suite 101, STUART, FL 24996 No data
REGISTERED AGENT ADDRESS CHANGED 2025-01-04 1001 SE Ocean BLVD, 101, stuart, FL 34996 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-10 1001 SE Ocean BLVD, 103 C, stuart, FL 34996 No data
CHANGE OF PRINCIPAL ADDRESS 2013-01-11 1001 S E Ocean BLVD, Suite 103C, STUART, FL 24996 No data
CHANGE OF MAILING ADDRESS 2009-03-30 1001 S E Ocean BLVD, Suite 103C, STUART, FL 24996 No data

Documents

Name Date
ANNUAL REPORT 2025-01-04
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State