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  5. MCRICHLANDS, PLLC

MCRICHLANDS, PLLC

Company Details

Entity Name: MCRICHLANDS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Oct 2011 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Jan 2022 (3 years ago)
Document Number: L11000123970
FEI/EIN Number 453714085
Address: 9580 N US HIGHWAY 301, WILDWOOD, FL, 34785, US
Mail Address: 9580 N US HIGHWAY 301, WILDWOOD, FL, 34785, US
ZIP code: 34785
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780940973 2012-04-02 2021-10-03 9580 N US HIGHWAY 301, WILDWOOD, FL, 34785, US 9580 N US HIGHWAY 301, WILDWOOD, FL, 347851762, US

Contacts
Phone +1 352-633-0703
Fax 3523992168

Authorized person
Name UZOMA KELECHI NWAUBANI
Role PHYSICIAN OWNER
Phone 3526330703

Taxonomy
Taxonomy Code 207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number ME105721
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 149R7
State FL
Issuer MEDICAID
Number 002182700
State FL
Issuer MEDICAID
Number GJ186A
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCRICHLANDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 453714085 2023-05-21 MCRICHLANDS PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 9580 N US HIGHWAY 301, WILDWOOD, FL, 347858772

Signature of
Role Plan administrator
Date 2023-05-21
Name of individual signing UZOMA K NWAUBANI
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 453714085 2022-06-15 MCRICHLANDS PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 9580 N US HIGHWAY 301, WILDWOOD, FL, 347858772

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing UZOMA NWAUBANI
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 453714085 2021-10-23 MCRICHLANDS PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 9580 N US HIGHWAY 301, WILDWOOD, FL, 347858772

Signature of
Role Plan administrator
Date 2021-10-23
Name of individual signing UZOMA NWAUBANI
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 453714085 2020-07-27 MCRICHLANDS PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 1050 OLD CAMP RD SUITE 206, THE VILLAGES, FL, 32162

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing MARA ROBERTS
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401 K PROFIT SHARING PLAN TRUST 2018 453714085 2019-06-24 MCRICHLANDS PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 1050 OLD CAMP RD SUITE 206, THE VILLAGES, FL, 32162

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing MARA ROBERTS
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401 K PROFIT SHARING PLAN TRUST 2017 453714085 2018-07-26 MCRICHLANDS PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 1050 OLD CAMP RD SUITE 206, THE VILLAGES, FL, 32162

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing MARAROBERTS
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401 K PROFIT SHARING PLAN TRUST 2016 453714085 2017-06-13 MCRICHLANDS PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 1050 OLD CAMP RD SUITE 206, THE VILLAGES, FL, 32162

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing DEBRA MONGAN
Valid signature Filed with authorized/valid electronic signature
MCRICHLANDS PLLC 401 K PROFIT SHARING PLAN TRUST 2015 453714085 2016-05-25 MCRICHLANDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3526330703
Plan sponsor’s address 1050 OLD CAMP RD SUITE 206, THE VILLAGES, FL, 32162

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing DEBRA MONGAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Manager

Name Role Address
NWAUBANI UZOMA Manager 10800 COUNTY ROAD 475, OXFORD, FL, 34484

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000028197 NWAUBANI UROGYNECOLOGY & WOMEN'S ACADEMY (NUWA) ACTIVE 2020-03-04 2025-12-31 No data 9580 N US HWY 301, WILDWOOD, FL, 34785
G11000107861 FEMALE CONTINENCE AND PELVIC SURGERY CENTER EXPIRED 2011-11-04 2016-12-31 No data 10800 COUNTY ROAD 475, OXFORD, FL, 34484

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-22 9580 N US HIGHWAY 301, WILDWOOD, FL 34785 No data
CHANGE OF MAILING ADDRESS 2023-04-22 9580 N US HIGHWAY 301, WILDWOOD, FL 34785 No data
REGISTERED AGENT ADDRESS CHANGED 2023-02-02 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
REINSTATEMENT 2022-01-21 No data No data
REGISTERED AGENT NAME CHANGED 2022-01-21 UNITED STATES CORPORATION AGENTS, INC. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
LC STMNT OF RA/RO CHG 2021-09-13 No data No data
REINSTATEMENT 2016-11-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000403600 ACTIVE 23-SC-212 SUMTER CTY CT 2023-08-21 2028-08-28 $3,225.85 CHARLENE TURNER, 5220 SE 110TH STREET, APT. 203, BELLEVIEW, FL 34420

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-22
REINSTATEMENT 2022-01-21
CORLCRACHG 2021-09-13
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-04-26
REINSTATEMENT 2016-11-07
ANNUAL REPORT 2015-04-16

Related by officers

NWAUBANI UZOMA

UCED, PLLC UNEAK, LLC BELLEFULL 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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