| Entity Name: | QUALITY PHYSICIAN GROUP, PLLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jun 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Nov 2019 (5 years ago) |
| Document Number: | L18000155733 |
| FEI/EIN Number | 83-1187767 |
| Address: | 33049 PROFESSIONAL DR,, STE. 103, LEESBURG, FL, 34788, US |
| Mail Address: | 33049 PROFESSIONAL DR,, STE. 103, LEESBURG, FL, 34788, US |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164906871 | 2018-09-18 | 2023-12-01 | 33049 PROFESSIONAL DR STE 103, LEESBURG, FL, 347883705, US | 33049 PROFESSIONAL DR STE 103, LEESBURG, FL, 347883705, US | |||||||||||||||||||
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| Phone | +1 352-446-4227 |
| Phone | +1 352-353-6967 |
Authorized person
| Name | SHEYLA ZELAYA-ARAGON |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3523536967 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| QUALITY PHYSICIAN GROUP 401(K) PLAN | 2023 | 831187767 | 2024-04-18 | QUALITY PHYSICIAN GROUP, PLLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-18 |
| Name of individual signing | SHEYLA ZELAYA ARAGON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523536967 |
| Plan sponsor’s address | 33049 PROFESSIONAL DRIVE, SUITE 3, LEESBURG, FL, 34788 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-11 |
| Name of individual signing | SHEYLA ZELAYA ARAGON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523536967 |
| Plan sponsor’s address | 33049 PROFESSIONAL DRIVE, SUITE 3, LEESBURG, FL, 34788 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-04 |
| Name of individual signing | SHEYLA ZELAYA ARAGON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523536967 |
| Plan sponsor’s address | 33049 PROFESSIONAL DRIVE, SUITE 3, LEESBURG, FL, 34788 |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role |
|---|---|
| ALEM, M.D., PLLC. | Member |
| Name | Role |
|---|---|
| SKZA, PLLC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 33049 PROFESSIONAL DR,, STE. 103, LEESBURG, FL 34788 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 33049 PROFESSIONAL DR,, STE. 103, LEESBURG, FL 34788 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-31 | 4929 Southwest 74th Court, Miami, FL 33155 | No data |
| LC AMENDMENT | 2019-11-15 | No data | No data |
| LC AMENDMENT | 2019-03-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-09 |
| AMENDED ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-02-18 |
| LC Amendment | 2019-11-15 |
| LC Amendment | 2019-03-07 |
| ANNUAL REPORT | 2019-02-04 |
| Florida Limited Liability | 2018-06-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
