| Entity Name: | ADVANCED MEDICAL GROUP OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Nov 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2019 (5 years ago) |
| Document Number: | L18000272602 |
| FEI/EIN Number | 832652620 |
| Address: | 809 E Oak St, Kissimmee, FL, 34744, US |
| Mail Address: | 9462 BECKER COURT, ORLANDO, FL, 32827, US |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780149120 | 2019-02-08 | 2019-08-26 | 9462 BECKER CT, ORLANDO, FL, 328274304, US | 1036 MANN ST, KISSIMMEE, FL, 347414121, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 407-518-7277 |
| Fax | 4077853234 |
Authorized person
| Name | VINAY KATUKURI |
| Role | OWNER |
| Phone | 4075187277 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED MEDICAL GROUP OF CENTRAL FLORIDA 401(K) PLAN | 2023 | 832652620 | 2024-05-03 | ADVANCED MEDICAL GROUP OF CENTRAL FLORIDA LLC | 4 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-03 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2488944436 |
| Plan sponsor’s address | 9462 BECKER CT, ORLANDO, FL, 32827 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Katukuri Vinay | Agent | 9462 BECKER COURT, ORLANDO, FL, 32827 |
| Name | Role | Address |
|---|---|---|
| KATUKURI VINAY | Manager | 9462 BECKER COURT, ORLANDO, FL, 32827 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000127237 | ADVANCED GASTROENTEROLOGY OF CENTRAL FLORIDA | EXPIRED | 2018-12-01 | 2023-12-31 | No data | 9462 BECKER CT., ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 809 E Oak St, 201, Kissimmee, FL 34744 | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-14 | Katukuri, Vinay | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-15 |
| REINSTATEMENT | 2019-10-14 |
| Florida Limited Liability | 2018-11-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
