| Entity Name: | INTERNAL MEDICINE PHYSICIANS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Dec 2018 (6 years ago) |
| Document Number: | L18000288129 |
| FEI/EIN Number | 83-3411803 |
| Address: | 4927 VAN DYKE RD, LUTZ, FL, 33558, US |
| Mail Address: | 4927 VAN DYKE RD, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962964254 | 2019-04-04 | 2021-03-26 | 4927 VAN DYKE RD, LUTZ, FL, 335584813, US | 4927 VAN DYKE RD, LUTZ, FL, 335584813, US | |||||||||||||||
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| Phone | +1 813-480-2892 |
| Fax | 8134285884 |
Authorized person
| Name | IHTASHAM HABIB |
| Role | OWNER |
| Phone | 8134802892 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTERNAL MEDICINE PHYSICIANS OF FLORIDA, LLC 401(K) PLAN | 2021 | 833411803 | 2022-09-23 | INTERNAL MEDICINE PHYSICIANS OF FLORIDA, LLC | 2 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-09-23 |
| Name of individual signing | EHTESHAM HABIB |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-23 |
| Name of individual signing | EHTESHAM HABIB |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-27 |
| Business code | 621111 |
| Sponsor’s telephone number | 8134802892 |
| Plan sponsor’s address | 4927 VANDYKE RD., LUTZ, FL, 33558 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-23 |
| Name of individual signing | IHTASHAM HABIB |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-23 |
| Name of individual signing | IHTASHAM HABIB |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-27 |
| Business code | 621111 |
| Sponsor’s telephone number | 8134802892 |
| Plan sponsor’s address | 4927 VANDYKE RD., LUTZ, FL, 33558 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-29 |
| Name of individual signing | IHTASHAM HABIB, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Habib IHTASHAM | Agent | 4927 VAN DYKE RD, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| HABIB IHTASHAM | Manager | 4927 VAN DYKE RD, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-07-11 | Habib, IHTASHAM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-11 | 4927 VAN DYKE RD, LUTZ, FL 33558 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-22 | 4927 VAN DYKE RD, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-22 | 4927 VAN DYKE RD, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-03-06 |
| Florida Limited Liability | 2018-12-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
