Entity Name: | ORION MEDICAL ENTERPRISES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Jan 1990 (35 years ago) |
Document Number: | L42323 |
FEI/EIN Number | 650163221 |
Mail Address: | 1000 Park Centre Blvd., Suite 134, Miami, FL, 33169, US |
Address: | 1000 Park Centre Blvd., Miami, FL, 33169, US |
ZIP code: | 33169 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1215953500 | 2006-07-14 | 2022-06-08 | 19559 NE 10TH AVE, NORTH MIAMI BEACH, FL, 331793501, US | 19559 NE 10TH AVE, NORTH MIAMI BEACH, FL, 331793501, US | |||||||||||||||||||||||||||||||
|
Phone | +1 305-651-3261 |
Fax | 3056512961 |
Authorized person
Name | STEVEN JEGER |
Role | VICE PRESIDENT |
Phone | 3056513261 |
Taxonomy
Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
Is Primary | No |
Taxonomy Code | 332BD1200X - Dialysis Equipment & Supplies (DME) |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BC BS FLORIDA |
Number | R6050 |
State | FL |
Issuer | MEDICAID |
Number | 209756700 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ORION MEDICAL ENTERPRISES 401K PLAN | 2012 | 650163221 | 2013-07-16 | ORION MEDICAL ENTERPRISES, INC. | 110 | |||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2013-07-16 |
Name of individual signing | STEVEN JEGER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 1995-01-01 |
Business code | 621492 |
Sponsor’s telephone number | 3056513261 |
Plan sponsor’s address | 19559 N.E. 10TH AVENUE, NORTH MIAMI BEACH, FL, 331793501 |
Plan administrator’s name and address
Administrator’s EIN | 650163221 |
Plan administrator’s name | ORION MEDICAL ENTERPRISES, INC. |
Plan administrator’s address | 19559 N.E. 10TH AVENUE, NORTH MIAMI BEACH, FL, 331793501 |
Administrator’s telephone number | 3056513261 |
Signature of
Role | Plan administrator |
Date | 2012-10-11 |
Name of individual signing | STEVEN JEGER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 1995-01-01 |
Business code | 621492 |
Sponsor’s telephone number | 3056513261 |
Plan sponsor’s address | 19559 N.E. 10TH AVENUE, NORTH MIAMI BEACH, FL, 331793501 |
Plan administrator’s name and address
Administrator’s EIN | 650163221 |
Plan administrator’s name | ORION MEDICAL ENTERPRISES, INC. |
Plan administrator’s address | 19559 N.E. 10TH AVENUE, NORTH MIAMI BEACH, FL, 331793501 |
Administrator’s telephone number | 3056513261 |
Signature of
Role | Plan administrator |
Date | 2011-07-14 |
Name of individual signing | STEVEN JEGER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 1995-01-01 |
Business code | 621492 |
Sponsor’s telephone number | 3056513261 |
Plan sponsor’s address | 19559 N.E. 10TH AVENUE, NORTH MIAMI BEACH, FL, 331793501 |
Plan administrator’s name and address
Administrator’s EIN | 650163221 |
Plan administrator’s name | ORION MEDICAL ENTERPRISES, INC. |
Plan administrator’s address | 19559 N.E. 10TH AVENUE, NORTH MIAMI BEACH, FL, 331793501 |
Administrator’s telephone number | 3056513261 |
Signature of
Role | Plan administrator |
Date | 2010-10-14 |
Name of individual signing | STEVEN JEGER |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
Jeger Steven | Agent | 1000 Park Centre Blvd., Miami, FL, 33169 |
Name | Role | Address |
---|---|---|
Jacob Allan I | President | 1000 Park Centre Blvd., Miami, FL, 33169 |
Name | Role | Address |
---|---|---|
Jacob Allan I | Director | 1000 Park Centre Blvd., Miami, FL, 33169 |
JEGER STEVEN | Director | 1000 Park Centre Blvd., Miami, FL, 33169 |
Name | Role | Address |
---|---|---|
JEGER STEVEN | Vice President | 1000 Park Centre Blvd., Miami, FL, 33169 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000115503 | PHYSICIANS DIALYSIS | ACTIVE | 2012-12-03 | 2027-12-31 | No data | 19559 NE 10TH AVENUE, NORTH MIAMI BEACH, FL, 33179 |
G10000026226 | PHYSICIANS DIALYSIS | ACTIVE | 2010-03-22 | 2025-12-31 | No data | 19559 NE 10TH AVENUE, NORTH MIAMI BEACH, FL, 33179 |
G10000025593 | PHYSICIANS DIALYSIS | ACTIVE | 2010-03-19 | 2025-12-31 | No data | 19559 NE 10TH AVENUE, NORTH MIAMI BEACH, FL, 33179 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 1993-02-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State