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PIONEER MEDICAL GROUP CLINIC FOUNDATION, INC.

PIONEER MEDICAL GROUP CLINIC FOUNDATION, INC. - Florida Company Profile

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Company Details

Entity Name:	PIONEER MEDICAL GROUP CLINIC FOUNDATION, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Active The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.
Date Filed:	25 May 2016 (9 years ago)
Last Event:	AMENDMENT
Event Date Filed:	16 Mar 2020 (5 years ago)
Document Number:	N16000005331
FEI/EIN Number	81-2781401 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	13067 N Telecom Pkwy, Tampa, FL, 33637, US
Mail Address:	13067 N Telecom Pkwy, Tampa, FL, 33637, US
ZIP code:	33637
County:	Hillsborough
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
MERCADO RONNIEL	Director	30595 Ivy FOrge Ct, WESLEY CHAPEL, FL, 33543
MERCADO RONNIEL	Treasurer	30595 Ivy FOrge Ct, WESLEY CHAPEL, FL, 33543
ALI SYED	Director	17324 Ballmont Park Dr, Odessa, FL, 33556
ALI SYED	President	17324 Ballmont Park Dr, Odessa, FL, 33556
SHAUKAT KHIZZAR	Vice President	10528 MARTINIQUE ISLE DR., TAMPA, FL, 33647
SHAUKAT KHIZZAR	Director	10528 MARTINIQUE ISLE DR., TAMPA, FL, 33647
MEHTA DIPTI	Director	4201 Bayshore Blvd, Tampa, FL, 33611
KHAN MASOOD	Director	20114 Natures hike Way, Tampa, FL, 33647
Ali Syed M	Agent	Syed Ali, Tampa, FL, 33637
BROWN MILTON	Director	10555 Cory Lake Dr, TAMPA, FL, 33647
BROWN MILTON	Secretary	10555 Cory Lake Dr, TAMPA, FL, 33647

National Provider Identifier

NPI Number:

1679387278

Certification Date:

2025-02-04

Link:

View on NPI website

Authorized Person:

Name:

MASOOD KHAN

Role:

VICE PRESIDENT

Phone:

8139437784

Taxonomy:

Selected Taxonomy:

261QP2300X - Primary Care Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 813-450-7231

Fax:

7868680001

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2024-04-15	Ali, Syed M	-
REGISTERED AGENT ADDRESS CHANGED	2024-04-15	Syed Ali, 13067 N telecom Parkway, Tampa, FL 33637	-
AMENDMENT	2020-03-16	-	-
CHANGE OF PRINCIPAL ADDRESS	2019-04-02	13067 N Telecom Pkwy, Tampa, FL 33637	-
CHANGE OF MAILING ADDRESS	2019-04-02	13067 N Telecom Pkwy, Tampa, FL 33637	-
AMENDMENT	2016-08-22	-	-

Documents

Name	Date
ANNUAL REPORT	2024-04-15
ANNUAL REPORT	2023-07-11
ANNUAL REPORT	2022-01-28
ANNUAL REPORT	2021-05-01
Amendment	2020-03-16
ANNUAL REPORT	2020-01-23
ANNUAL REPORT	2019-04-02
ANNUAL REPORT	2018-03-09
ANNUAL REPORT	2017-01-18
Amendment	2016-08-22

Tax Exempt

Employer Identification Number (EIN) :

81-2781401

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

2021-03

National Taxonomy Of Exempt Entities:

Health Care: Ambulatory Health Center, Community Clinic

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 01 Jun 2025

Sources: Florida Department of State