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  5. UROLOGY HEALTH TEAM, PLLC

UROLOGY HEALTH TEAM, PLLC

Company Details

Entity Name: UROLOGY HEALTH TEAM, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Aug 2009 (15 years ago)
Date of dissolution: 07 Mar 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Mar 2016 (9 years ago)
Document Number: L09000081640
FEI/EIN Number 270813619
Address: 3200 SW 34th Ave., Suite 202, Ocala, FL, 34474, US
Mail Address: 3200 SW 34th Ave., Suite 202, Ocala, FL, 34474, US
ZIP code: 34474
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174856272 2009-09-08 2010-04-13 3201 SW 34TH ST, OCALA, FL, 344747439, US 3201 SW 34TH ST, OCALA, FL, 344747439, US

Contacts
Phone +1 352-425-8341
Phone +1 352-237-6162

Authorized person
Name DR. IRA KLIMBERG
Role MANAGING MEMBER
Phone 3524258341

Taxonomy
Taxonomy Code 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
License Number ME56657
State FL
Is Primary No
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
License Number OS1733
State FL
Is Primary No
Taxonomy Code 208800000X - Urology Physician
License Number ME39334
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2017 270813619 2018-04-17 UROLOGY HEALTH TEAM, PLLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Sponsor’s telephone number 3522376162
Plan sponsor’s address 3200 SW 34TH STREET, SUITE 202, OCALA, FL, 34474

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing IRA KLIMBERG
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2016 270813619 2017-03-21 UROLOGY HEALTH TEAM, PLLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Sponsor’s telephone number 3522376162
Plan sponsor’s address 3200 SW 34TH STREET, SUITE 202, OCALA, FL, 34474

Signature of
Role Plan administrator
Date 2017-03-21
Name of individual signing IRA KLIMBERG
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2015 270813619 2016-07-06 UROLOGY HEALTH TEAM, PLLC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Sponsor’s telephone number 3522376162
Plan sponsor’s address 3200 SW 34TH STREET, SUITE 202, OCALA, FL, 34474

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing IRA KLIMBERG
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2014 270813619 2015-09-29 UROLOGY HEALTH TEAM, PLLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Sponsor’s telephone number 3522376162
Plan sponsor’s address 3200 SW 34TH STREET, SUITE 202, OCALA, FL, 34474

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing SUE CORDEN
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2013 270813619 2014-10-14 UROLOGY HEALTH TEAM, PLLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Sponsor’s telephone number 3522376162
Plan sponsor’s address 3201 SW 34TH STREET, OCALA, FL, 34474

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing SUE CORDEN
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2012 270813619 2014-12-08 UROLOGY HEALTH TEAM, PLLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Plan sponsor’s address 3201 SW 34TH STREET, OCALA, FL, 34474

Plan administrator’s name and address
Administrator’s EIN 270813619
Plan administrator’s name UROLOGY HEALTH TEAM, PLLC
Plan administrator’s address 3201 SW 34TH STREET, OCALA, FL, 34474
Administrator’s telephone number 3522376162

Signature of
Role Plan administrator
Date 2014-12-08
Name of individual signing SUE CORDEN
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2012 270813619 2013-10-15 UROLOGY HEALTH TEAM, PLLC 56
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Plan sponsor’s address 3201 SW 34TH STREET, OCALA, FL, 34474

Plan administrator’s name and address
Administrator’s EIN 270813619
Plan administrator’s name UROLOGY HEALTH TEAM, PLLC
Plan administrator’s address 3201 SW 34TH STREET, OCALA, FL, 34474
Administrator’s telephone number 3522376162

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing SUE CORDEN
Valid signature Filed with authorized/valid electronic signature
UROLOGY HEALTH TEAM, PLLC EMPLOYEES SAVINGS TRUST 2011 270813619 2012-05-17 UROLOGY HEALTH TEAM, PLLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-13
Business code 621111
Plan sponsor’s address 3201 SW 34TH STREET, OCALA, FL, 34474

Plan administrator’s name and address
Administrator’s EIN 270813619
Plan administrator’s name UROLOGY HEALTH TEAM, PLLC
Plan administrator’s address 3201 SW 34TH STREET, OCALA, FL, 34474
Administrator’s telephone number 3522376162

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing SUE CORDEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KLIMBERG IRA Agent 5593 SW 30TH AVENUE, OCALA, FL, 34471

Auth

Name Role Address
KLIMBERG IRA Auth 5593 SW 30TH AVENUE, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-03-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-12 3200 SW 34th Ave., Suite 202, Ocala, FL 34474 No data
CHANGE OF MAILING ADDRESS 2015-01-12 3200 SW 34th Ave., Suite 202, Ocala, FL 34474 No data

Documents

Name Date
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-01-08
ANNUAL REPORT 2012-01-16
ANNUAL REPORT 2011-01-05
ANNUAL REPORT 2010-01-05
Florida Limited Liability 2009-08-25

Related by officers

KLIMBERG IRA

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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