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  5. WING CARDIOLOGY AND HEALTH LLC

WING CARDIOLOGY AND HEALTH LLC

Company Details

Entity Name: WING CARDIOLOGY AND HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Mar 2013 (12 years ago)
Document Number: L13000033542
FEI/EIN Number 46-2197110
Address: 161 N Causeway, Ste C, New Smyrna Beach, FL, 32169, US
Mail Address: 161 N Causeway, Ste C, New Smyrna Beach, FL, 32169, US
ZIP code: 32169
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043551690 2013-03-06 2018-10-19 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300, US 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300, US

Contacts
Phone +1 386-424-8400
Phone +1 386-424-8440

Authorized person
Name WING YI LIU
Role MGR
Phone 3864248440

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number ME97585
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000887600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WING CARDIOLOGY AND HEALTH LLC DEFINED BENEFIT PENSION PLAN 2023 462197110 2024-08-03 WING CARDIOLOGY AND HEALTH LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC PROFIT SHARING 401K PLAN 2023 462197110 2024-08-01 WING CARDIOLOGY AND HEALTH LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC PROFIT SHARING 401K PLAN 2023 462197110 2024-08-01 WING CARDIOLOGY AND HEALTH LLC 15
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC PROFIT SHARING 401K PLAN 2022 462197110 2023-10-09 WING CARDIOLOGY AND HEALTH LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC DEFINED BENEFIT PENSION PLAN 2022 462197110 2023-10-09 WING CARDIOLOGY AND HEALTH LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC PROFIT SHARING 401K PLAN 2021 462197110 2022-07-18 WING CARDIOLOGY AND HEALTH LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC DEFINED BENEFIT PENSION PLAN 2021 462197110 2022-07-18 WING CARDIOLOGY AND HEALTH LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC DEFINED BENEFIT PENSION PLAN 2020 462197110 2021-09-24 WING CARDIOLOGY AND HEALTH LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC DEFINED BENEFIT PENSION PLAN 2019 462197110 2020-09-21 WING CARDIOLOGY AND HEALTH LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300
WING CARDIOLOGY AND HEALTH LLC DEFINED BENEFIT PENSION PLAN 2018 462197110 2019-10-14 WING CARDIOLOGY AND HEALTH LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864248440
Plan sponsor’s address 161 N CAUSEWAY STE C, NEW SMYRNA BEACH, FL, 321695300

Agent

Name Role Address
LIU WING YI M Agent 161 N Causeway, Ste C, New Smyrna Beach, FL, 32169

Manager

Name Role Address
LI HUA M Manager 513 N Riverside Dr, Edgewater, FL, 32132

Mgr

Name Role Address
Liu Wing Yi MD Mgr 513 N Riverside Dr, Edgewater, FL, 32132

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-08 161 N Causeway, Ste C, New Smyrna Beach, FL 32169 No data
CHANGE OF MAILING ADDRESS 2018-01-08 161 N Causeway, Ste C, New Smyrna Beach, FL 32169 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-08 161 N Causeway, Ste C, New Smyrna Beach, FL 32169 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-03
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-09

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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