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SINGH MEDICAL GROUP, LLC

SINGH MEDICAL GROUP, LLC

Company Details

Entity Name:	SINGH MEDICAL GROUP, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Inactive
Date Filed:	21 Nov 2016 (8 years ago)
Date of dissolution:	18 Dec 2024 (2 months ago)
Last Event:	VOLUNTARY DISSOLUTION
Event Date Filed:	18 Dec 2024 (2 months ago)
Document Number:	L16000213270
FEI/EIN Number	814544506
Address:	1547 Fox Grape Loop, Lutz, FL, 33558, US
Mail Address:	1547 Fox Grape Loop, Lutz, FL, 33558, US
ZIP code:	33558
County:	Hillsborough
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1073057311

2016-12-06

2017-05-01

14153 YOSEMITE DR, SUITE 101, HUDSON, FL, 346678060, US

14153 YOSEMITE DR, SUITE 101, HUDSON, FL, 346678060, US

Contacts

Phone	+1 727-222-0806
Fax	7272339737

Authorized person

Name	SUNANDA SINGH
Role	OWNER/PRESIDENT
Phone	8138926599

Taxonomy

Taxonomy Code	207N00000X - Dermatology Physician
License Number	ME73174
State	FL
Is Primary	No
Taxonomy Code	2082S0105X - Surgery of the Hand (Plastic Surgery) Physician
License Number	ME79778
State	FL
Is Primary	Yes

Other Provider Identifiers

Issuer	FLORIDA BCBS
Number	6KWUH
State	FL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SINGH MEDICAL GROUP, LLC 401(K) PLAN

2021

814544506

2022-04-20

SINGH MEDICAL GROUP, 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	7272220806
Plan sponsor’s address	14153 YOSEMITE DRIVE, SUITE 101, HUDSON, FL, 34667

SINGH MEDICAL GROUP, LLC 401(K) PLAN

2021

814544506

2022-01-28

SINGH MEDICAL GROUP, LLC

16

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621111
Sponsor’s telephone number	7272220806
Plan sponsor’s address	14153 YOSEMITE DROVE, SUITE 101, HUDSON, FL, 34667

SINGH MEDICAL GROUP, LLC 401(K) PLAN

2020

814544506

2021-08-31

SINGH MEDICAL GROUP, 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	7272220806
Plan sponsor’s address	14153 YOSEMITE DROVE, SUITE 101, HUDSON, FL, 34667

SINGH MEDICAL GROUP, LLC 401(K) PLAN

2019

814544506

2020-04-22

SINGH MEDICAL GROUP, LLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621111
Sponsor’s telephone number	7272220806
Plan sponsor’s address	14153 YOSEMITE DROVE, SUITE 101, HUDSON, FL, 34667

SINGH MEDICAL GROUP, LLC 401(K) PLAN

2018

814544506

2019-09-06

SINGH MEDICAL GROUP, 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	7272220806
Plan sponsor’s address	14153 YOSEMITE DROVE, SUITE 101, HUDSON, FL, 34667

Agent

Name	Role
O'CONNOR LAW FIRM, PLLC	Agent

Manager

Name	Role	Address
SINGH SUNANDA	Manager	1547 Fox Grape Loop, Lutz, FL, 33558
SINGH ANJALI	Manager	1547 Fox Grape Loop, Lutz, FL, 33558

Events

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2024-12-18	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2023-03-29	1547 Fox Grape Loop, Lutz, FL 33558	No data
CHANGE OF MAILING ADDRESS	2023-03-29	1547 Fox Grape Loop, Lutz, FL 33558	No data

Documents

Name	Date
VOLUNTARY DISSOLUTION	2024-12-18
ANNUAL REPORT	2024-04-18
ANNUAL REPORT	2023-03-29
ANNUAL REPORT	2022-04-07
ANNUAL REPORT	2021-02-04
ANNUAL REPORT	2020-03-17
ANNUAL REPORT	2019-02-08
ANNUAL REPORT	2018-01-22
ANNUAL REPORT	2017-02-13
Florida Limited Liability	2016-11-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State