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  5. OSCEOLA INTERNAL MEDICINE, INC.

OSCEOLA INTERNAL MEDICINE, INC.

Company Details

Entity Name: OSCEOLA INTERNAL MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 May 2001 (24 years ago)
Date of dissolution: 06 Oct 2020 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Oct 2020 (4 years ago)
Document Number: P01000054001
FEI/EIN Number 593720401
Address: 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744, US
Mail Address: 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744, US
ZIP code: 34744
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295915932 2007-11-09 2018-05-15 203 WESTMORELAND CIR, KISSIMMEE, FL, 347445463, US 203 WESTMORELAND CIR, KISSIMMEE, FL, 34744, US

Contacts
Phone +1 407-348-8813
Fax 4073484486

Authorized person
Name DR. ESTEBAN L JANOLO
Role VICE PRESIDENT
Phone 4073488813

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary No

Other Provider Identifiers
Issuer MEDICARE GROUP NO.
Number 38377
State FL
Issuer RAILROAD MEDICARE
Number CK5659
State FL
Issuer BCBS GROUP NO
Number 38377
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2020 593720401 2021-10-06 OSCEOLA INTERNAL MEDICINE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing LORNA JANOLO
Valid signature Filed with authorized/valid electronic signature
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2019 593720401 2020-06-30 OSCEOLA INTERNAL MEDICINE INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing LORNA JANOLO
Valid signature Filed with authorized/valid electronic signature
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2019 593720401 2020-06-22 OSCEOLA INTERNAL MEDICINE INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing LJANOLO0508
Valid signature Filed with authorized/valid electronic signature
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2018 593720401 2019-10-13 OSCEOLA INTERNAL MEDICINE INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing LORNA JANOLO
Valid signature Filed with authorized/valid electronic signature
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2017 593720401 2018-06-22 OSCEOLA INTERNAL MEDICINE INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing LORNA JANOLO
Valid signature Filed with authorized/valid electronic signature
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2016 593720401 2017-10-06 OSCEOLA INTERNAL MEDICINE INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing LORNA JANOLO
Valid signature Filed with authorized/valid electronic signature
OSCEOLA INTERNAL MEDICINE 401(K) PLAN 2015 593720401 2016-10-14 OSCEOLA INTERNAL MEDICINE INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-26
Business code 621111
Sponsor’s telephone number 4077298124
Plan sponsor’s address 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing LORNA JANOLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JANOLO, JR ESTEBAN L Agent 203 WESTMORELAND CIRCLE, KISSIMMEE, FL, 34744

President

Name Role Address
SUBHANI NOMAN President 8836 ELLIOTT'S COURT, ORLANDO, FL, 32836

Treasurer

Name Role Address
SUBHANI NOMAN Treasurer 8836 ELLIOTT'S COURT, ORLANDO, FL, 32836

Director

Name Role Address
SUBHANI NOMAN Director 8836 ELLIOTT'S COURT, ORLANDO, FL, 32836
JANOLO ESTEBAN L Director 203 WESTMORELAND CIR, KISSIMMEE, FL, 34744

Vice President

Name Role Address
JANOLO ESTEBAN L Vice President 203 WESTMORELAND CIR, KISSIMMEE, FL, 34744

Secretary

Name Role Address
JANOLO ESTEBAN L Secretary 203 WESTMORELAND CIR, KISSIMMEE, FL, 34744

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-10-06 No data No data
REGISTERED AGENT NAME CHANGED 2020-04-09 JANOLO, JR, ESTEBAN L No data
CHANGE OF MAILING ADDRESS 2011-01-10 203 WESTMORELAND CIRCLE, KISSIMMEE, FL 34744 No data
REGISTERED AGENT ADDRESS CHANGED 2009-01-12 203 WESTMORELAND CIRCLE, KISSIMMEE, FL 34744 No data
CHANGE OF PRINCIPAL ADDRESS 2002-02-17 203 WESTMORELAND CIRCLE, KISSIMMEE, FL 34744 No data

Documents

Name Date
Voluntary Dissolution 2020-10-06
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-03-11
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-02-26
ANNUAL REPORT 2014-04-10
ANNUAL REPORT 2013-04-26
ANNUAL REPORT 2012-04-26

Related by officers

SUBHANI NOMAN

SKILLED CARE SPECIALISTS, INC. NOKAMA, LLC MYMED.COM, LLC PROFESSIONAL INVESTMENTS OF ORLANDO, INC. U.S. N-CORP., INC. NOMAN SUBHANI, M.D., P.A.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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