| Entity Name: | FLA MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLA MEDICAL GROUP 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. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Oct 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2024 (6 months ago) |
| Document Number: | L10000105471 |
| FEI/EIN Number |
273647511
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8609 FOREST CITY RD, ORLANDO, FL, 32810 |
| Mail Address: | 8609 FOREST CITY RD, ORLANDO, FL, 32810 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770872814 | 2011-03-29 | 2011-03-29 | 8609 FOREST CITY RD, ORLANDO, FL, 328102262, US | 8609 FOREST CITY RD, ORLANDO, FL, 328102262, US | |||||||||||||||||||
|
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| Phone | +1 407-293-1790 |
| Fax | 4072931791 |
Authorized person
| Name | DR. BODO PYKO |
| Role | PHYSICIAN/MEDICAL DIRECTOR |
| Phone | 4072931790 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | OS1683 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLA MEDICAL GROUP 401K PROFIT SHARING PLAN & TRUST | 2013 | 273647511 | 2014-10-23 | FLA MEDICAL GROUP | 4 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-10-23 |
| Name of individual signing | PENNY ALBERRY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-10-23 |
| Name of individual signing | PENNY ALBERRY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4072931790 |
| Plan sponsor’s address | 8609 FOREST CITY ROAD, ORLANDO, FL, 32810 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-23 |
| Name of individual signing | PENNY ALBERRY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-10-23 |
| Name of individual signing | PENNY ALBERRY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4072931790 |
| Plan sponsor’s address | 8609 FOREST CITY ROAD, ORLANDO, FL, 32810 |
Plan administrator’s name and address
| Administrator’s EIN | 273647511 |
| Plan administrator’s name | FLA MEDICAL GROUP |
| Plan administrator’s address | 8609 FOREST CITY ROAD, ORLANDO, FL, 32810 |
| Administrator’s telephone number | 4072931790 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-23 |
| Name of individual signing | PENNY ALBERRY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-10-23 |
| Name of individual signing | PENNY ALBERRY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SMITH JASON S | Manager | 8609 FOREST CITY RD, ORLANDO, FL, 32810 |
| Smith Jason S | Agent | 8609 FOREST CITY RD, ORLANDO, FL, 32810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-08 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-08 | 8609 FOREST CITY RD, ORLANDO, FL 32810 | - |
| REGISTERED AGENT NAME CHANGED | 2024-10-08 | Smith, Jason S | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| REINSTATEMENT | 2023-01-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REINSTATEMENT | 2018-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REINSTATEMENT | 2017-03-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| REINSTATEMENT | 2024-10-08 |
| REINSTATEMENT | 2023-01-04 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-08-25 |
| ANNUAL REPORT | 2019-07-09 |
| REINSTATEMENT | 2018-10-08 |
| REINSTATEMENT | 2017-03-08 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-03-20 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
