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WARD MEDICAL SERVICES, INC.

Company Details

Entity Name: WARD MEDICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Mar 2000 (25 years ago)
Document Number: P00000026796
FEI/EIN Number 593634602
Address: 2435 US 1 S, SAINT AUGUSTINE, FL, 32086-6076, US
Mail Address: 2435 US 1 S, SAINT AUGUSTINE, FL, 32086-6076, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265407506 2006-02-21 2023-08-16 2435 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320866075, US 2435 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320866075, US

Contacts

Phone +1 904-794-9600
Fax 9047949601

Authorized person

Name MR. CHARLES EARL WARD
Role PRESIDENT
Phone 9047949600

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 366
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 022168600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WARD MEDICAL SERVICES 401(K) PLAN 2023 593634602 2024-07-19 WARD MEDICAL SERVICES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2024-07-19
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2022 593634602 2023-07-26 WARD MEDICAL SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2021 593634602 2022-05-20 WARD MEDICAL SERVICES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2020 593634602 2021-03-18 WARD MEDICAL SERVICES 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2021-03-18
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2019 593634602 2020-05-11 WARD MEDICAL SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2018 593634602 2019-04-23 WARD MEDICAL SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2019-04-23
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2017 593634602 2018-03-15 WARD MEDICAL SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2018-03-15
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2016 593634602 2017-06-30 WARD MEDICAL SERVICES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2017-06-30
Name of individual signing CHARLES EARL WARD
Valid signature Filed with authorized/valid electronic signature
WARD MEDICAL SERVICES 401(K) PLAN 2015 593634602 2016-07-26 WARD MEDICAL SERVICES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 453990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086
WARD MEDICAL SERVICES 401(K) PLAN 2014 593634602 2015-07-31 WARD MEDICAL SERVICES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 812990
Sponsor’s telephone number 9047949600
Plan sponsor’s address 2435 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32086

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing CHARLES E. WARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BOLES JOSEPH L Agent 19 RIBERIA ST., ST. AUGUSTINE, FL, 32084

President

Name Role Address
WARD CHARLES E President 10 LEE DR., ST. AUGUSTINE, FL, 32080

Chief Executive Officer

Name Role Address
Ward Leigh A Chief Executive Officer 10 Lee Drive, SAINT AUGUSTINE, FL, 32080

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000117575 WARD MEDICAL SERVICES ACTIVE 2022-09-18 2027-12-31 No data 2435 US HWY 1 S, ST AUGUSTINE, FL, 32086

Date of last update: 02 Jan 2025

Sources: Florida Department of State