| Entity Name: | CENTER ONE MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2023 (2 years ago) |
| Document Number: | L23000184285 |
| FEI/EIN Number | 93-1356062 |
| Address: | 3900 CLARK RD, UNIT L2, SARASOTA, FL, 34233 |
| Mail Address: | 3900 CLARK RD, UNIT L2, SARASOTA, FL, 34233 |
| ZIP code: | 34233 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205528569 | 2023-05-24 | 2024-09-30 | 3900 CLARK RD STE L2, SARASOTA, FL, 342332375, US | 3900 CLARK RD STE L2, SARASOTA, FL, 342332375, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 386-214-3170 |
| Phone | +1 941-210-0248 |
| Fax | 9412100247 |
Authorized person
| Name | JOHN YEE |
| Role | CEO |
| Phone | 9412100248 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTER ONE MEDICAL 401(K) PLAN | 2023 | 931356062 | 2024-07-22 | CENTER ONE MEDICAL | 0 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| YEE JOHN | Agent | 3900 CLARK RD,, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| YEE JOHN | Chief Executive Officer | 3900 CLARK RD, UNIT L2, SARASOTA, FL, 34233 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2024-03-21 |
| Florida Limited Liability | 2023-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
