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  5. NOORANI MEDICAL CENTER, LLC

NOORANI MEDICAL CENTER, LLC

Company Details

Entity Name: NOORANI MEDICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Apr 2012 (13 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 28 Dec 2017 (7 years ago)
Document Number: L12000057446
FEI/EIN Number 455202220
Address: 10924 BLOOMINGDALE AVE, RIVERVIEW, FL, 33578, US
Mail Address: 10924 BLOOMINGDALE AVE, RIVERVIEW, FL, 33578, US
ZIP code: 33578
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376805168 2012-06-08 2018-05-01 10924 BLOOMINGDALE AVE, RIVERVIEW, FL, 335783633, US 10924 BLOOMINGDALE AVE, RIVERVIEW, FL, 335783633, US

Contacts
Phone +1 813-571-1111
Fax 8135711120

Authorized person
Name SARAH PRIMM
Role OFFICE MANAGER
Phone 8135711111

Taxonomy
Taxonomy Code 302F00000X - Exclusive Provider Organization
License Number 36113183
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NOORANI MEDICAL CENTER LLC 401(K) PROFIT SHARING PLAN & TRU 2023 455202220 2024-10-04 NOORANI MEDICAL CENTER LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6308816506
Plan sponsor’s address 10924 BLOOMINGDALE AVE,, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2024-10-04
Name of individual signing NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 455202220 2023-07-19 NOORANI MEDICAL CENTER LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8135711111
Plan sponsor’s address 10924 BLOOMINGDALE AVENUE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 455202220 2022-09-14 NOORANI MEDICAL CENTER LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8135711111
Plan sponsor’s address 10924 BLOOMINGDALE AVENUE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2022-09-14
Name of individual signing NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 455202220 2021-07-23 NOORANI MEDICAL CENTER LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8135711111
Plan sponsor’s address 10924 BLOOMINGDALE AVENUE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2019 455202220 2020-07-24 NOORANI MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8135711111
Plan sponsor’s address 10924 BLOOMINGDALE AVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing DR. NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2018 455202220 2019-07-26 NOORANI MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8135711111
Plan sponsor’s address 4320 BELLSHOALS RD., VALRICO, FL, 33596

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing DR. NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2017 455202220 2018-06-29 NOORANI MEDICAL CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8135711111
Plan sponsor’s address 4320 BELLSHOALS RD., VALRICO, FL, 33596

Signature of
Role Plan administrator
Date 2018-06-29
Name of individual signing DR. NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2016 455202220 2017-09-28 NOORANI MEDICAL CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8135711111
Plan sponsor’s address 4320 BELLSHOALS RD., VALRICO, FL, 33596

Signature of
Role Plan administrator
Date 2017-09-28
Name of individual signing DR. NAZNEEN NOORANI
Valid signature Filed with authorized/valid electronic signature
NOORANI MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2015 455202220 2016-08-11 NOORANI MEDICAL CENTER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621498
Sponsor’s telephone number 8135711111
Plan sponsor’s address 4320 BELLSHOALS RD., VALRICO, FL, 33596

Agent

Name Role Address
NOORANI NAZNEEN Agent 10924 BLOOMINGDALE AVE, RIVERVIEW, FL, 33578

Manager

Name Role Address
NOORANI NAZNEEN Manager 10924 Bloomingdale Avenue, Riverview, FL, 33578

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2017-12-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2017-12-28 10924 BLOOMINGDALE AVE, RIVERVIEW, FL 33578 No data
CHANGE OF PRINCIPAL ADDRESS 2017-11-17 10924 BLOOMINGDALE AVE, RIVERVIEW, FL 33578 No data
CHANGE OF MAILING ADDRESS 2017-11-17 10924 BLOOMINGDALE AVE, RIVERVIEW, FL 33578 No data
LC AMENDMENT 2012-07-30 No data No data
LC AMENDMENT AND NAME CHANGE 2012-05-29 NOORANI MEDICAL CENTER, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-02-25
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-06-12
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-09
CORLCRACHG 2017-12-28
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-29

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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