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  5. IDR MED FLORIDA LLC

IDR MED FLORIDA LLC

Company Details

Entity Name: IDR MED FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Oct 2017 (7 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 07 Nov 2017 (7 years ago)
Document Number: L17000225081
FEI/EIN Number 82-3273210
Address: 6951 SW State Rd 200, OCALA, FL, 34476, US
Mail Address: 6951 SW State Rd 200, OCALA, FL, 34476, US
ZIP code: 34476
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639682016 2017-11-08 2019-07-10 3323 SW 115TH TER, GAINESVILLE, FL, 326080032, US 150 SE 17TH ST STE 501, OCALA, FL, 344715176, US

Contacts
Phone +1 352-236-6806
Fax 3526222033

Authorized person
Name JAVIER B CAIRO LAVADO
Role OWNER
Phone 3522366806

Taxonomy
Taxonomy Code 207RI0200X - Infectious Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDR MED FLORIDA LLC - 401(K) 2023 823273210 2024-09-04 IDR MED FLORIDA LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 7132540730
Plan sponsor’s address 3323 SW 115TH TER, GAINESVILLE, FL, 32608

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
IDR MED FLORIDA LLC - 401(K) 2022 823273210 2023-09-11 IDR MED FLORIDA LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 7132540730
Plan sponsor’s address 3323 SW 115TH TER, GAINESVILLE, FL, 32608

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
IDR MED FLORIDA LLC - 401(K) 2021 823273210 2022-07-21 IDR MED FLORIDA LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 7132540730
Plan sponsor’s address 3323 SW 115TH TER, GAINESVILLE, FL, 32608

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
IDR MED FLORIDA LLC - 401(K) 2020 823273210 2021-07-15 IDR MED FLORIDA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 7132540730
Plan sponsor’s address 3323 SW 115TH TER, GAINESVILLE, FL, 32608

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
B. CAIRO LAVADO JAVIER Agent 3323 SOUTHWEST 115TH TERRACE, GAINESVILLE, FL, 32608

Authorized Member

Name Role Address
CAIRO LAVADO JAVIER Authorized Member 3323 SOUTHWEST 115TH TERRACE, GAINESVILLE, FL, 32608

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-09 6951 SW State Rd 200, OCALA, FL 34476 No data
CHANGE OF MAILING ADDRESS 2024-12-09 6951 SW State Rd 200, OCALA, FL 34476 No data
LC AMENDMENT 2017-11-07 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-04-02
LC Amendment 2017-11-07
Florida Limited Liability 2017-10-31

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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