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  5. BLESSILDA B. LIU, M.D., P.A.

BLESSILDA B. LIU, M.D., P.A.

Company Details

Entity Name: BLESSILDA B. LIU, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 May 2000 (25 years ago)
Document Number: P00000052786
FEI/EIN Number 593649487
Address: 942 E NORVELL BRYANT HWY, HERNANDO, FL, 34442, US
Mail Address: PO BOX 640524, BEVERLY HILLS, FL, 34464
ZIP code: 34442
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174712970 2007-10-17 2010-12-07 2623 N FOREST RIDGE BLVD, HERNANDO, FL, 344425123, US 2623 N FOREST RIDGE BLVD, HERNANDO, FL, 344425123, US

Contacts
Phone +1 352-746-4684
Fax 3527465784

Authorized person
Name DR. BLESSILDA BOHOLST LIU
Role INTERNAL MEDICINE
Phone 3527464684

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME0072471
State FL
Is Primary Yes

Other Provider Identifiers
Issuer LISCENCE
Number ME0072471
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2023 593649487 2024-10-08 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2023 593649487 2024-10-08 BLESSILDA B. LIU, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2022 593649487 2023-09-29 BLESSILDA B. LIU, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2022 593649487 2023-09-29 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2021 593649487 2022-10-11 BLESSILDA B. LIU, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2021 593649487 2022-10-11 BLESSILDA B. LIU, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2020 593649487 2021-10-14 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 640524, BEVERLY HILLS, FL, 34464
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2020 593649487 2021-10-14 BLESSILDA B. LIU, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 640524, BEVERLY HILLS, FL, 344640524
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2019 593649487 2020-09-26 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 640524, BEVERLY HILLS, FL, 34464
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2019 593649487 2020-06-25 BLESSILDA B. LIU, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 650524, BEVERLY HILLS, FL, 344640524

Agent

Name Role Address
LIU BLESSILDA B Agent 942 E NORVELL BRYANT HWY, HERNANDO, FL, 34442

President

Name Role Address
LIU BLESSILDA B President 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429

Secretary

Name Role Address
LIU BLESSILDA B Secretary 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429

Treasurer

Name Role Address
LIU BLESSILDA B Treasurer 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429

Vice President

Name Role Address
LIU ALEXANDER O Vice President 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-27 942 E NORVELL BRYANT HWY, HERNANDO, FL 34442 No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-27 942 E NORVELL BRYANT HWY, HERNANDO, FL 34442 No data
CHANGE OF MAILING ADDRESS 2001-04-02 942 E NORVELL BRYANT HWY, HERNANDO, FL 34442 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-27

Related by officers

LIU BLESSILDA B

MARIE & CHYNNA MAGNOLIA, LLC MARIE & CHYNNA KB, LLC MARIE & CHYNNA LEMON, LLC

LIU ALEXANDER O

MARIE & CHYNNA, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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