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  5. PUNGER FAMILY MEDICINE, LLC

PUNGER FAMILY MEDICINE, LLC

Company Details

Entity Name: PUNGER FAMILY MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Jul 2012 (13 years ago)
Document Number: L12000096103
FEI/EIN Number 46-0856138
Address: 4640 SOUTH 25TH STREET, FT. PIERCE, FL 34981
Mail Address: 4640 SOUTH 25TH STREET, FT. PIERCE, FL 34981
ZIP code: 34981
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447503255 2012-10-17 2012-10-17 4640 S 25TH ST, FORT PIERCE, FL, 349815057, US 4640 S 25TH ST, FORT PIERCE, FL, 349815057, US

Contacts
Phone +1 772-466-8884
Fax 7724668832

Authorized person
Name DENISE L PUNGER
Role PRESIDENT
Phone 7724668884

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PUNGER FAMILY MEDICINE 401(K) PLAN 2023 460856138 2024-04-01 PUNGER FAMILY MEDICINE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2022 460856138 2023-08-03 PUNGER FAMILY MEDICINE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2021 460856138 2022-10-17 PUNGER FAMILY MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2020 460856138 2021-06-30 PUNGER FAMILY MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2019 460856138 2020-10-09 PUNGER FAMILY MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2018 460856138 2019-10-07 PUNGER FAMILY MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2017 460856138 2018-10-11 PUNGER FAMILY MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2016 460856138 2018-01-02 PUNGER FAMILY MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2015 460856138 2016-10-14 PUNGER FAMILY MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981
PUNGER FAMILY MEDICINE 401(K) PLAN 2014 460856138 2015-10-13 PUNGER FAMILY MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7724668884
Plan sponsor’s address 4640 SOUTH 25TH STREET, FORT PIERCE, FL, 34981

Agent

Name Role Address
BANKS, MICHAEL R Agent 759 SW Federal Hwy, Suite 216, STUART, FL 34994

Authorized Member

Name Role Address
PUNGER, DENISE L, Dr. Authorized Member 4640 SOUTH 25TH STREET, FT. PIERCE, FL 34981

Authorized Representative

Name Role Address
Banks, Michael R., Esq. Authorized Representative 759 SW Federal Hwy, Suite 216 Stuart, FL 34994

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-31 759 SW Federal Hwy, Suite 216, STUART, FL 34994 No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-11
ANNUAL REPORT 2015-03-24

Related by officers

BANKS, MICHAEL R

COQUELET AND SONS FAMILY, LLC KELLY PROPERTY GROUP, LLC AJK MARINE, LLC KONEXO, LLC SURFTECHNICA, LLC CRB SNACKS, LLC J.C.E. FAMILY MEDICINE, PLLC NEUROLOGY SPECIALISTS OF THE TREASURE COAST, P.A. DQSH, LLC TRINIBIZ, LLC

Banks, Michael R., Esq.

COQUELET & PUNGER FAMILY MEDICINE, P.A.

Related by address

4640 SOUTH 25TH STREET, FT. PIERCE, FL 34981

COQUELET AND SONS FAMILY, LLC

4640 SOUTH 25TH STREET, FT. PIERCE, FL 34981

COQUELET AND SONS FAMILY, LLC

Date of last update: 23 Jan 2025

Sources: Florida Department of State

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