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  5. WILLIAM F. RYLANDER, M.D., P.A.

WILLIAM F. RYLANDER, M.D., P.A.

Company Details

Entity Name: WILLIAM F. RYLANDER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 Nov 2001 (23 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P01000110386
FEI/EIN Number 593759523
Mail Address: PO BOX 2939, TITUSVILLE, FL, 32781, US
Address: 407 SOUTH WASHINGTON AVE, SUITE 1, TITUSVILLE, FL, 32796
ZIP code: 32796
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598954273 2007-10-18 2010-08-24 407 S WASHINGTON AVE STE 1, TITUSVILLE, FL, 327963500, US 407 S WASHINGTON AVE STE 1, TITUSVILLE, FL, 327963500, US

Contacts
Phone +1 321-385-0884
Fax 3213859578

Authorized person
Name MRS. JESSIE P MCCOSKEY
Role MANAGER
Phone 3213850884

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME59323
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 054035800
State FL
Issuer NPI
Number 1831266089
State FL
Issuer NPI
Number 1730381641
Issuer MEDICAID
Number 276444000
State FL
Issuer NPI
Number 1861505463
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM F. RYLANDER, M.D., P.A. PROFIT SHARING PLAN 2017 593759523 2019-02-18 WILLIAM F. RYLANDER, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3213859634
Plan sponsor’s address 407 S. WASHINGTON AVE., SUITE 1, TITUSVILLE, FL, 32796
WILLIAM F. RYLANDER, M.D., P.A. PROFIT SHARING PLAN 2016 593759523 2017-09-05 WILLIAM F. RYLANDER, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3213859634
Plan sponsor’s address 407 S. WASHINGTON AVE., SUITE 1, TITUSVILLE, FL, 32796
WILLIAM F. RYLANDER, M.D., P.A. PROFIT SHARING PLAN 2015 593759523 2016-07-26 WILLIAM F. RYLANDER, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3213859634
Plan sponsor’s address 407 S. WASHINGTON AVE., SUITE 1, TITUSVILLE, FL, 32796
WILLIAM F. RYLANDER, M.D., P.A. PROFIT SHARING PLAN 2014 593759523 2015-07-30 WILLIAM F. RYLANDER, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3213859634
Plan sponsor’s address 407 S. WASHINGTON AVE., SUITE 1, TITUSVILLE, FL, 32796
WILLIAM F. RYLANDER, M.D., P.A. PROFIT SHARING PLAN 2013 593759523 2014-04-18 WILLIAM F. RYLANDER, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3213859634
Plan sponsor’s address 407 S. WASHINGTON AVE., SUITE 1, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2014-04-18
Name of individual signing WILLIAM F. RYLANDER
Valid signature Filed with authorized/valid electronic signature
WILLIAM F. RYLANDER, M.D., P.A. PROFIT SHARING PLAN 2012 593759523 2013-07-12 WILLIAM F. RYLANDER, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3213859634
Plan sponsor’s address 407 S. WASHINGTON AVE., SUITE 1, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing WILLIAM F. RYLANDER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WHITE W GRAHAM Agent 250 PARK AVE SOUTH 5TH FLOOR, WINTER PARK, FL, 32789

Director

Name Role Address
RYLANDER WILLIAM F Director 407 S.WASHINGTON AVE., STE1, TITUSVILLE, FL, 32796

President

Name Role Address
RYLANDER WILLIAM F President 407 S.WASHINGTON AVE., STE1, TITUSVILLE, FL, 32796

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2012-04-03 407 SOUTH WASHINGTON AVE, SUITE 1, TITUSVILLE, FL 32796 No data
CHANGE OF PRINCIPAL ADDRESS 2006-09-07 407 SOUTH WASHINGTON AVE, SUITE 1, TITUSVILLE, FL 32796 No data

Documents

Name Date
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-05-03
ANNUAL REPORT 2017-03-10
ANNUAL REPORT 2016-04-07
ANNUAL REPORT 2015-03-23
ANNUAL REPORT 2014-04-21
ANNUAL REPORT 2013-02-16

Related by officers

RYLANDER WILLIAM F

FAITH@3720, LLC WILLIAM F. RYLANDER, M.D., P.L.C.

WHITE W GRAHAM

COMPOSE CORP.

Related by address

PO BOX 2939, TITUSVILLE, FL, 32781, US

CHARLES VELCRO RYLANDER, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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