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  5. AEGIS MEDICAL GROUP, LLC

AEGIS MEDICAL GROUP, LLC

Company Details

Entity Name: AEGIS MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Feb 2014 (11 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 22 Dec 2021 (3 years ago)
Document Number: L14000023879
FEI/EIN Number 46-4793194
Address: 18550 U.S. HIGHWAY 441, SUITE A, MOUNT DORA, FL, 32757, US
Mail Address: 18550 U.S. HIGHWAY 441, SUITE A, MOUNT DORA, FL, 32757, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356769384 2014-04-07 2024-03-06 410 FERN DR, LEESBURG, FL, 347487008, US 410 FERN DR, LEESBURG, FL, 347487008, US

Contacts
Phone +1 352-218-8200
Fax 3524350690

Authorized person
Name SHAHBAZ A CHEEMA
Role PRESIDENT
Phone 3527353755

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AEGIS MEDICAL GROUP 401(K) PROFIT SHARING PLAN & TRUST 2021 464793194 2022-09-08 AEGIS MEDICAL GROUP 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3149578565
Plan sponsor’s address 711 N 3RD ST SUITE 2, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing NICOLE SMITH
Valid signature Filed with authorized/valid electronic signature
AEGIS MEDICAL GROUP 401(K) PROFIT SHARING PLAN & TRUST 2020 464793194 2021-07-30 AEGIS MEDICAL GROUP 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3149578565
Plan sponsor’s address 711 N 3RD ST SUITE 2, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing ZACH HUBBARD
Valid signature Filed with authorized/valid electronic signature
AEGIS MEDICAL GROUP, LLC 401(K) PROFIT SHARING PLAN 2019 464793194 2020-08-19 AEGIS MEDICAL GROUP, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3526134421
Plan sponsor’s address 711 NORTH 3RD STREET, LEESBURG, FL, 34748
AEGIS MEDICAL GROUP, LLC 401(K) PROFIT SHARING PLAN 2018 464793194 2019-10-14 AEGIS MEDICAL GROUP, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3526134421
Plan sponsor’s address 711 NORTH 3RD STREET, LEESBURG, FL, 34748
AEGIS MEDICAL GROUP, LLC 401(K) PROFIT SHARING PLAN 2017 464793194 2018-10-15 AEGIS MEDICAL GROUP, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3526134421
Plan sponsor’s address 711 NORTH 3RD STREET, LEESBURG, FL, 34748

Agent

Name Role
NRAI SERVICES, INC. Agent

Chief Executive Officer

Name Role Address
Morgan Sidney Chief Executive Officer 18850 U.S. HIGHWAY 441, Mount Dora, FL, 32757

Gene

Name Role Address
Patten Carl WJr. Gene 18550 U.S. HIGHWAY 441, MOUNT DORA, FL, 32757

Authorized Member

Name Role Address
Lakeview Healthcare Enterprises Authorized Member 18550 U.S. HIGHWAY 441, MOUNT DORA, FL, 32757

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000054052 AEGIS MEDICAL GROUP LEESBURG ACTIVE 2021-04-20 2026-12-31 No data 711 N 3RD STREET, # 2, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2021-12-22 No data No data
REGISTERED AGENT NAME CHANGED 2021-12-22 NRAI SERVICES, INC. No data
REGISTERED AGENT ADDRESS CHANGED 2021-12-22 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-13
CORLCRACHG 2021-12-22
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-03-06

Related by officers

Morgan Sidney

PRIMARY CARE ALLIANCE, LLC AEGIS ACCOUNTABLE CARE ORGANIZATION, LLC LAKEVIEW INVESTMENT GROUP, LLC LAKE CENTRE HOME CARE, LLC

Patten Carl WJr.

PHYSICIANS OF CENTRAL FLORIDA, LLC AEGIS PHYSICIANS GROUP, LLC. AEGIS ACCOUNTABLE CARE ORGANIZATION, LLC INPATIENT PARTNERS, LLC

Related by address

18550 U.S. HIGHWAY 441, SUITE A, MOUNT DORA, FL, 32757, US

PRIMARY CARE ALLIANCE, LLC MD PROFESSIONAL SOLUTIONS, LLC LAKEVIEW TRANSPORTATION, INC.

18550 U.S. HIGHWAY 441, SUITE A, MOUNT DORA, FL, 32757, US

PRIMARY CARE ALLIANCE, LLC MD PROFESSIONAL SOLUTIONS, LLC LAKEVIEW TRANSPORTATION, INC.

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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