| Entity Name: | WELLSPAN MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | L19000027589 |
| FEI/EIN Number | 83-3626863 |
| Address: | 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL, 34102, US |
| Mail Address: | 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL, 34102, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932666344 | 2019-02-22 | 2024-04-09 | 599 9TH ST N STE 211, NAPLES, FL, 341025625, US | 599 9TH ST N STE 211, NAPLES, FL, 341025625, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 239-643-7888 |
| Fax | 2396434744 |
Authorized person
| Name | JOSEPH JOHN REPAY |
| Role | OWNER/PRESIDENT |
| Phone | 2396437888 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLSPAN MEDICAL SERVICES, LLC 401(K) PLAN | 2023 | 833626863 | 2024-06-27 | WELLSPAN MEDICAL SERVICES, LLC | 5 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-06-27 |
| Name of individual signing | JOSEPH REPAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-04-15 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139567278 |
| Plan sponsor’s address | 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-31 |
| Name of individual signing | JOSEPH REPAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-04-15 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139567278 |
| Plan sponsor’s address | 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-20 |
| Name of individual signing | JOSEPH REPAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-04-15 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139567278 |
| Plan sponsor’s address | 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-06 |
| Name of individual signing | JOSEPH REPAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| NOTTINGHAM MARCEY | Agent | 599 NINTH STREET NORTH, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| REPAY JOSEPH JMD | Manager | 599 NINTH STREET NORTH, STE 211, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL 34102 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-06-25 |
| Florida Limited Liability | 2019-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
