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NORTH FLORIDA PULMONARY ASSOCIATES LLC - Florida Company Profile

Company Details

Entity Name: NORTH FLORIDA PULMONARY ASSOCIATES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

NORTH FLORIDA PULMONARY ASSOCIATES 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 16 Sep 2009 (16 years ago)
Date of dissolution: 07 Jan 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Jan 2016 (9 years ago)
Document Number: L09000089276
FEI/EIN Number 270927705

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 11512 Lake Mead Ave, Suite 303, JACKSONVILLE, FL, 32256, US
Mail Address: 11512 Lake Mead Ave, Suite 303, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275867335 2009-09-22 2013-04-16 11512 LAKE MEAD AVE, UNIT # 303, JACKSONVILLE, FL, 322569680, US 11512 LAKE MEAD AVE, UNIT # 303, JACKSONVILLE, FL, 322569680, US

Contacts

Phone +1 904-371-2756
Fax 9049003590

Authorized person

Name BASSEL RAMADAN
Role MGRM
Phone 9043712756

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME87777
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE
Number CN387A
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2015 270927705 2016-02-25 NORTH FLORIDA PULMONARY ASSOCIATES 3
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2016-02-25
Name of individual signing BASSEL RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2015 270927705 2016-09-07 NORTH FLORIDA PULMONARY ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256

Signature of

Role Plan administrator
Date 2016-09-07
Name of individual signing DINA RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2015 270927705 2016-05-13 NORTH FLORIDA PULMONARY ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2016-05-13
Name of individual signing BASSEL RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2014 270927705 2015-05-25 NORTH FLORIDA PULMONARY ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2015-05-25
Name of individual signing BASSEL RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2013 270927705 2014-06-13 NORTH FLORIDA PULMONARY ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2014-06-13
Name of individual signing BASSEL RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2012 270927705 2013-04-26 NORTH FLORIDA PULMONARY ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 11512 LAKE MEAD AVE, SUITE 303, JACKSONVILLE, FL, 32256
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2013-04-26
Name of individual signing DINA RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2011 270927705 2012-04-05 NORTH FLORIDA PULMONARY ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 6817 SOUTHPOINT PKWY., SUITE 1802, JACKSONVILLE, FL, 32216

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 6817 SOUTHPOINT PKWY., SUITE 1802, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2012-04-05
Name of individual signing DINA RAMADAN
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PULMONARY ASSOCIATES 401(K) P/S PLAN 2010 270927705 2011-02-21 NORTH FLORIDA PULMONARY ASSOCIATES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9043712756
Plan sponsor’s address 6817 SOUTHPOINT PKWY., JACKSONVILLE, FL, 32216

Plan administrator’s name and address

Administrator’s EIN 270927705
Plan administrator’s name NORTH FLORIDA PULMONARY ASSOCIATES
Plan administrator’s address 6817 SOUTHPOINT PKWY., JACKSONVILLE, FL, 32216
Administrator’s telephone number 9043712756

Signature of

Role Plan administrator
Date 2011-02-21
Name of individual signing DINA RAMADAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RAMADAN BASSEL Manager 11512 Lake Mead Ave, JACKSONVILLE, FL, 32256
RAMADAN BASSEL Agent 11512 Lake Mead Ave, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-01-07 - -
CHANGE OF PRINCIPAL ADDRESS 2013-01-18 11512 Lake Mead Ave, Suite 303, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2013-01-18 11512 Lake Mead Ave, Suite 303, JACKSONVILLE, FL 32256 -
REGISTERED AGENT ADDRESS CHANGED 2013-01-18 11512 Lake Mead Ave, Suite 303, JACKSONVILLE, FL 32256 -
LC AMENDMENT 2009-10-02 - -
REGISTERED AGENT NAME CHANGED 2009-10-02 RAMADAN, BASSEL -

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-01-07
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-02-08
ANNUAL REPORT 2013-01-18
ANNUAL REPORT 2012-01-11
ANNUAL REPORT 2011-01-30
CORLCMMRES 2010-01-21
ANNUAL REPORT 2010-01-17
LC Amendment 2009-10-02
Florida Limited Liability 2009-09-16

Date of last update: 02 Apr 2025

Sources: Florida Department of State