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AMA MEDICAL GROUP, LLC

Company Details

Entity Name: AMA MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Feb 2010 (15 years ago)
Document Number: L10000014664
FEI/EIN Number 271898482
Address: 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
Mail Address: 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174223416 2023-03-06 2023-03-06 1280 MISSOURI AVE N, LARGO, FL, 337701849, US 1280 MISSOURI AVE N, LARGO, FL, 337701849, US

Contacts

Phone +1 952-653-2525
Fax 9526532540

Authorized person

Name ANTONIO SOUCHET
Role PRACTICE MANAGER
Phone 7273318740

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 271898482 2022-10-17 AMA MEDICAL GROUP LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 271898482 2021-08-02 AMA MEDICAL GROUP LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2021-08-02
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 271898482 2020-06-25 AMA MEDICAL GROUP LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2020-06-25
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST 2017 271898482 2018-07-16 AMA MEDICAL GROUP LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST 2016 271898482 2017-06-01 AMA MEDICAL GROUP LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2017-06-01
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BASKIN HAMDEN H Agent 14020 Roosevelt Blvd., CLEARWATER, FL, 33762

Managing Member

Name Role Address
FANA-SOUCHET CRUZ MDr. Managing Member 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
SOUCHET ANTONIO M Managing Member 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-23 14020 Roosevelt Blvd., STE 808, CLEARWATER, FL 33762 No data
CHANGE OF PRINCIPAL ADDRESS 2011-09-08 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL 34698 No data
CHANGE OF MAILING ADDRESS 2011-09-08 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL 34698 No data

Documents

Name Date
ANNUAL REPORT 2024-06-26
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-05-25
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-03-10

Date of last update: 02 Jan 2025

Sources: Florida Department of State