| Entity Name: | NORTH NAPLES FAMILY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 May 2000 (25 years ago) |
| Document Number: | P00000051044 |
| FEI/EIN Number | 593652040 |
| Address: | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL, 34109 |
| Mail Address: | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL, 34109 |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285616219 | 2005-11-16 | 2009-02-06 | 5490 BRYSON DR, SUITE 201, NAPLES, FL, 341090921, US | 5490 BRYSON DR, SUITE 201, NAPLES, FL, 341090921, US | |||||||||||||||||||||||||
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| Phone | +1 239-596-7731 |
| Fax | 2395962285 |
Authorized person
| Name | BRIAN W BOZZA |
| Role | OWNER |
| Phone | 2395967731 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME80216 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS OF FLORIDA |
| Number | 51559 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH NAPLES FAMILY CARE INC 401K PROFIT SHARING PLAN AND TRUST | 2010 | 593652040 | 2010-01-25 | NORTH NAPLES FAMILY CARE INC | 5 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593652040 |
| Plan administrator’s name | NORTH NAPLES FAMILY CARE INC |
| Plan administrator’s address | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL, 34109 |
| Administrator’s telephone number | 2395967731 |
Number of participants as of the end of the plan year
| Active participants | 3 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 1 |
Signature of
| Role | Plan administrator |
| Date | 2010-01-25 |
| Name of individual signing | BRIAN BOZZA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BOZZA BRIAN | Agent | 5490 BRYSON DRIVE, NAPLES, FL, 34109 |
| Name | Role | Address |
|---|---|---|
| BOZZA BRIAN W | Director | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-09 | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL 34109 | No data |
| CHANGE OF MAILING ADDRESS | 2005-03-09 | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL 34109 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-09 | 5490 BRYSON DRIVE, SUITE 201, NAPLES, FL 34109 | No data |
| REGISTERED AGENT NAME CHANGED | 2001-03-19 | BOZZA, BRIAN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-03-17 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-02-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
