| Entity Name: | HEART DOCTORS OF OCALA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HEART DOCTORS OF OCALA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Dec 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L08000118017 |
| FEI/EIN Number |
800327634
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9401 SW HWY 200, BLDG. 6000, STE. 6003, OCALA, FL, 34481 |
| Mail Address: | P.O. BOX 1180, OCALA, FL, 34478 |
| ZIP code: | 34481 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275856064 | 2010-03-08 | 2011-12-16 | 2930 SE 31ST ST, OCALA, FL, 344716287, US | 10435 SE 170TH PL, SUMMERFIELD, FL, 344918998, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-624-7384 |
| Fax | 3526241924 |
| Phone | +1 352-347-8063 |
| Fax | 3523476187 |
Authorized person
| Name | MRS. SONYA NASSER |
| Role | ADMINISTRATOR |
| Phone | 3526247384 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME85309 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME83972 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 000X4 |
| State | FL |
| Issuer | MEDICAID |
| Number | 262215700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEART DOCTORS OF OCALA 401K PLAN | 2013 | 800327634 | 2014-07-29 | HEART DOCTORS OF OCALA | 18 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-29 |
| Name of individual signing | DR. JUSTIN FERNS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3526248779 |
| Plan sponsor’s address | 2930 SE 31ST STREET, OCALA, FL, 34471 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | JUSTIN FERNS, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3526248779 |
| Plan sponsor’s address | 2930 SE 31ST STREET, OCALA, FL, 34471 |
Plan administrator’s name and address
| Administrator’s EIN | 800327634 |
| Plan administrator’s name | HEART DOCTORS OF OCALA |
| Plan administrator’s address | 2930 SE 31ST STREET, OCALA, FL, 34471 |
| Administrator’s telephone number | 3526248779 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | JUSTIN FERNS, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FERNS JUSTIN M | Manager | 10435 SE 170TH PLACE, SUMMERFIELD, FL, 34491 |
| POPE TODD E | Agent | 13710 N US HIGHWAY 441, SUITE 100, THE VILLAGES, FL, 34491 |
| NASSER ALI M | Manager | 9401 SW HWY 200 BLDG 6000 SUITE 6003, OCALA, FL, 34481 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2012-04-08 | 9401 SW HWY 200, BLDG. 6000, STE. 6003, OCALA, FL 34481 | - |
| REGISTERED AGENT NAME CHANGED | 2012-04-08 | POPE, TODD ESQUIRE | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-08 | 13710 N US HIGHWAY 441, SUITE 100, THE VILLAGES, FL 34491 | - |
| LC AMENDMENT | 2010-01-22 | - | - |
| LC AMENDMENT | 2009-01-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-08 |
| ANNUAL REPORT | 2011-04-19 |
| LC Amendment | 2010-01-22 |
| ANNUAL REPORT | 2010-01-20 |
| ANNUAL REPORT | 2009-04-07 |
| LC Amendment | 2009-01-23 |
| Florida Limited Liability | 2008-12-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
