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NETHERFIELD PLACE PLLC

Company Details

Entity Name: NETHERFIELD PLACE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 Aug 2022 (2 years ago)
Document Number: L22000340812
FEI/EIN Number 88-3556833
Address: 10594 ROYAL CYPRESS WAY, ORLANDO, FL 32836 UN
Mail Address: 10594 ROYAL CYPRESS WAY, ORLANDO, FL 32836 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356061279 2022-08-31 2022-08-31 10594 ROYAL CYPRESS WAY, ORLANDO, FL, 328366529, US 7376 STONEROCK CIR, ORLANDO, FL, 328198000, US

Contacts

Phone +1 407-373-5853
Phone +1 407-289-0644

Authorized person

Name AFRA JANARIOUS
Role CHAIRMAN
Phone 4073735853

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NETHERFIELD PLACE 401(K) PLAN 2023 883556833 2024-05-17 NETHERFIELD PLACE PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 4073735853
Plan sponsor’s address 10594 ROYAL CYPRESS WAY, ORLANDO, FL, 32836

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 2024-05-17
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JANARIOUS, AFRA Agent 10594 ROYAL CYPRESS WAY, ORLANDO, FL 32836

Authorized Member

Name Role Address
JANARIOUS, AFRA Authorized Member 10594 ROYAL CYPRESS WAY, ORLANDO, FL 32836
JANARIOUS, DAVID Authorized Member 10594 ROYAL CYPRESS WAY, ORLANDO, FL 32836

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-03-20
Florida Limited Liability 2022-08-02

Date of last update: 11 Jan 2025

Sources: Florida Department of State