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  5. ACCORD MEDICAL GROUP, PLLC

ACCORD MEDICAL GROUP, PLLC

Company Details

Entity Name: ACCORD MEDICAL GROUP, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Sep 2009 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 May 2011 (14 years ago)
Document Number: L09000084742
FEI/EIN Number 270858619
Address: 5112 N Habana Ave, TAMPA, FL, 33614, US
Mail Address: 5112 N Habana Ave, TAMPA, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528399276 2010-01-20 2023-12-06 5112 N HABANA AVE, TAMPA, FL, 336146873, US 5112 N HABANA AVE, TAMPA, FL, 336146873, US

Contacts
Phone +1 813-374-2406
Fax 8133742407

Authorized person
Name DR. PHILIP ATIGRE
Role PRESIDENT AND CEO
Phone 8133404866

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 006556300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2023 270858619 2024-10-21 ACCORD MEDICAL GROUP, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2022 270858619 2023-08-14 ACCORD MEDICAL GROUP, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2021 270858619 2022-10-13 ACCORD MEDICAL GROUP, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2020 270858619 2021-10-14 ACCORD MEDICAL GROUP, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2019 270858619 2020-09-15 ACCORD MEDICAL GROUP, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2018 270858619 2019-07-21 ACCORD MEDICAL GROUP, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2017 270858619 2018-10-09 ACCORD MEDICAL GROUP, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2016 270858619 2018-01-23 ACCORD MEDICAL GROUP, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8138019111
Plan sponsor’s address 5112 NORTH HABANA AVE, TAMPA, FL, 33614
ACCORD MEDICAL GROUP 401K PROFIT 401K PROFIT SHARE PLAN 2015 270858619 2016-07-25 ACCORD MEDICAL GROUP PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8133404866
Plan sponsor’s address 14499 N DALE MABRY HWY STE 180-S, TAMPA, FL, 33618

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing PHILIP ATIGRE
Valid signature Filed with authorized/valid electronic signature
ACCORD MEDICAL GROUP 401K PROFIT 401K PROFIT SHARE PLAN 2014 270858619 2015-07-29 ACCORD MEDICAL GROUP PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 8133404866
Plan sponsor’s address 14499 N DALE MABRY HWY STE 180-S, TAMPA, FL, 33618

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing JOETTE SMITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ATIGRE PHILIP Agent 5112 N Habana Ave, TAMPA, FL, 33614

Managing Member

Name Role Address
ATIGRE PHILIP Managing Member 5112 N Habana Ave, TAMPA, FL, 33614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000046315 ACCORD MEDICAL GROUP, PLLC ACTIVE 2015-05-08 2025-12-31 No data 5112 N HABANA AVE, TAMPA, FL, 33614

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-23 5112 N Habana Ave, TAMPA, FL 33614 No data
CHANGE OF MAILING ADDRESS 2016-01-23 5112 N Habana Ave, TAMPA, FL 33614 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-23 5112 N Habana Ave, TAMPA, FL 33614 No data
REINSTATEMENT 2011-05-20 No data No data
REGISTERED AGENT NAME CHANGED 2011-05-20 ATIGRE, PHILIP No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-03-01
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-02-01

Related by officers

ATIGRE PHILIP

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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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