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ADVANCE MEDICAL OF NAPLES, LLC

Company Details

Entity Name: ADVANCE MEDICAL OF NAPLES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Jul 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 15 Aug 2016 (8 years ago)
Document Number: L11000079031
FEI/EIN Number 453131576
Address: 720 GOODLETTE ROAD NORTH, NAPLES, FL, 34102, US
Mail Address: 720 GOODLETTE ROAD NORTH, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164704649 2011-09-12 2014-10-09 720 GOODLETTE RD N, SUITE 500, NAPLES, FL, 341025656, US 720 GOODLETTE RD N, SUITE 300, NAPLES, FL, 341025656, US

Contacts

Phone +1 239-566-7676
Fax 2392543105

Authorized person

Name MRS. LORI-ANN MARTELL
Role PRACTICE ADMINISTRATOR
Phone 2392543104

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2022 453131576 2024-01-23 ADVANCE MEDICAL OF NAPLES, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2021 453131576 2022-12-27 ADVANCE MEDICAL OF NAPLES, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2022-12-22
Name of individual signing GREGORY LEACH
Valid signature Filed with authorized/valid electronic signature
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2020 453131576 2021-08-16 ADVANCE MEDICAL OF NAPLES, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2019 453131576 2020-11-06 ADVANCE MEDICAL OF NAPLES, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2020-11-06
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2019 453131576 2020-10-15 ADVANCE MEDICAL OF NAPLES, LLC 57
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing GREGORY LEACH
Valid signature Filed with authorized/valid electronic signature
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2018 453131576 2019-10-15 ADVANCE MEDICAL OF NAPLES, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2017 453131576 2018-10-13 ADVANCE MEDICAL OF NAPLES, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2018-10-13
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-13
Name of individual signing GREGORY LEACH
Valid signature Filed with authorized/valid electronic signature
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2016 453131576 2017-10-20 ADVANCE MEDICAL OF NAPLES, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2017-10-20
Name of individual signing GREGORY LEACH
Valid signature Filed with authorized/valid electronic signature
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2015 453131576 2016-10-05 ADVANCE MEDICAL OF NAPLES, LLC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2016-10-05
Name of individual signing GREGORY LEACH
Valid signature Filed with authorized/valid electronic signature
ADVANCE MEDICAL OF NAPLES LLC PROFIT SHARING PLAN 2014 453131576 2015-08-31 ADVANCE MEDICAL OF NAPLES, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2395667676
Plan sponsor’s address 720 GOODLETTE ROAD NORTH SUITE 500, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2015-08-31
Name of individual signing GREGORY LEACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Leach Gregory EMGR Agent 720 GOODLETTE ROAD NORTH, NAPLES, FL, 34102

Manager

Name Role Address
LEACH GREGORY Manager 720 GOODLETTE ROAD NORTH, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-21 Leach, Gregory E, MGR No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-21 720 GOODLETTE ROAD NORTH, SUITE 500, NAPLES, FL 34102 No data
LC AMENDMENT 2016-08-15 No data No data
LC AMENDMENT 2016-07-18 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-07-25 720 GOODLETTE ROAD NORTH, SUITE 500, NAPLES, FL 34102 No data
CHANGE OF MAILING ADDRESS 2014-07-25 720 GOODLETTE ROAD NORTH, SUITE 500, NAPLES, FL 34102 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-02-24
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-04-06
LC Amendment 2016-08-15
LC Amendment 2016-07-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State