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  5. SAINT THOMAS CLINIC PLLC

SAINT THOMAS CLINIC PLLC

Company Details

Entity Name: SAINT THOMAS CLINIC PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jun 2009 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Oct 2010 (14 years ago)
Document Number: L09000062456
FEI/EIN Number 270470133
Address: 7056 MARINER BLVD, SPRING HILL, FL, 34609, US
Mail Address: 7056 MARINER BLVD, SPRING HILL, FL, 34609, US
ZIP code: 34609
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205065059 2009-07-14 2014-11-03 7056 MARINER BLVD, SPRING HILL, FL, 346091000, US 7056 MARINER BLVD, SPRING HILL, FL, 346091000, US

Contacts
Phone +1 352-610-4408

Authorized person
Name HANY ABSKHROUN
Role PHYSICIAN OWNER
Phone 3526104408

Taxonomy
Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
License Number ME101584
State FL
Is Primary Yes

Other Provider Identifiers
Issuer NPI
Number 1518121334

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. THOMAS CLINIC 401(K) PROFIT SHARING PLAN 2022 270470133 2023-07-18 SAINT THOMAS CLINIC PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609
ST.THOMAS CLINIC CASH BALANCE PLAN 2022 270470133 2023-07-18 SAINT THOMAS CLINIC PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609
ST. THOMAS CLINIC 401(K) PROFIT SHARING PLAN 2021 270470133 2022-10-11 SAINT THOMAS CLINIC PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609
ST.THOMAS CLINIC CASH BALANCE PLAN 2021 270470133 2022-10-11 SAINT THOMAS CLINIC PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609
ST. THOMAS CLINIC 401(K) PROFIT SHARING PLAN 2020 270470133 2021-09-22 SAINT THOMAS CLINIC PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
ST.THOMAS CLINIC CASH BALANCE PLAN 2020 270470133 2021-09-22 SAINT THOMAS CLINIC PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
SAINT THOMAS CLINIC 401(K) PROFIT SHARING PLAN 2019 270470133 2020-06-22 SAINT THOMAS CLINIC PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
ST. THOMAS CLINIC CASH BALANCE PLAN 2019 270470133 2020-06-22 SAINT THOMAS CLINIC PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
ST. THOMAS CLINIC CASH BALANCE PLAN 2018 270470133 2019-08-05 SAINT THOMAS CLINIC PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2019-08-01
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-01
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
SAINT THOMAS CLINIC 401(K) PROFIT SHARING PLAN 2018 270470133 2019-07-12 SAINT THOMAS CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3526104408
Plan sponsor’s address 7056 MARINER BLVD., SPRING HILL, FL, 34609

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-12
Name of individual signing HANY ABSKHROUN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ABSKHROUN HANY Agent 7056 MARINER BLVD, SPRING HILL, FL, 34609

Managing Member

Name Role Address
ABSKHROUN HANY Managing Member 7056 MARINER BLVD, SPRING HILL, FL, 34609

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-03-07 7056 MARINER BLVD, SPRING HILL, FL 34609 No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-26 7056 MARINER BLVD, SPRING HILL, FL 34609 No data
REGISTERED AGENT NAME CHANGED 2015-04-26 ABSKHROUN, HANY No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-26 7056 MARINER BLVD, SPRING HILL, FL 34609 No data
REINSTATEMENT 2010-10-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-26

Related by officers

ABSKHROUN HANY

ST. THOMAS CARE PLUS, LLC ST. THOMAS THE ANCHORITE INC LEEWARD ISLAND RENTALS LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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