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  5. OMAR MEDICAL, PLLC

OMAR MEDICAL, PLLC

Company Details

Entity Name: OMAR MEDICAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Apr 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Sep 2014 (10 years ago)
Document Number: L10000038773
FEI/EIN Number 272334189
Address: 100 whetstone place, suite 204, ST AUGUSTINE, FL, 32086, US
Mail Address: P.O.BOX 3956, ST AUGUSTINE, FL, 32085, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346568532 2010-05-12 2013-04-26 100 WHETSTONE PL, STE 204, ST AUGUSTINE, FL, 320865774, US 100 WHETSTONE PL, STE 204, ST AUGUSTINE, FL, 320865774, US

Contacts
Phone +1 217-720-3144

Authorized person
Name WALID OMAR
Role PRESIDENT
Phone 2177203144

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 0094907
State FL
Is Primary Yes
Taxonomy Code 174400000X - Specialist
License Number 0097900
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OMAR MEDICAL 401(K) PLAN 2023 272334189 2024-07-23 OMAR MEDICAL, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2022 272334189 2023-10-16 OMAR MEDICAL, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2021 272334189 2023-02-01 OMAR MEDICAL, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2020 272334189 2021-07-29 OMAR MEDICAL, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2019 272334189 2020-09-30 OMAR MEDICAL, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2018 272334189 2019-10-15 OMAR MEDICAL, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2017 272334189 2018-08-27 OMAR MEDICAL, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2016 272334189 2017-05-26 OMAR MEDICAL, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2015 272334189 2016-07-29 OMAR MEDICAL, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUUITE 204, ST AUGUSTINE, FL, 32086
OMAR MEDICAL 401(K) PLAN 2014 272334189 2015-10-13 OMAR MEDICAL, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9046068447
Plan sponsor’s address 100 WHETSTONE PLACE, SUUITE 204, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing WALID OMAR, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OMAR WALID Agent 473 porta rosa cir, ST AUGUSTINE, FL, 32092

Managing Member

Name Role Address
omar walid Managing Member 473 porta rose cir, st augustine, FL, 32092

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-02-09 473 porta rosa cir, ST AUGUSTINE, FL 32092 No data
CHANGE OF MAILING ADDRESS 2015-01-14 100 whetstone place, suite 204, ST AUGUSTINE, FL 32086 No data
LC AMENDMENT 2014-09-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-02-07 100 whetstone place, suite 204, ST AUGUSTINE, FL 32086 No data
LC AMENDMENT 2013-02-04 No data No data
REGISTERED AGENT NAME CHANGED 2011-03-03 OMAR, WALID No data
LC AMENDMENT 2010-04-21 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-01-25

Related by officers

OMAR WALID

NEZUCHO TRANSPORT LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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