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CENTRAL FLORIDA INTERNISTS, INC.

Company Details

Entity Name: CENTRAL FLORIDA INTERNISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Dec 2001 (23 years ago)
Document Number: P01000115312
FEI/EIN Number 593757174
Address: 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741, US
Mail Address: 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619390457 2014-01-30 2014-01-30 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US 431 N KIRKMAN RD, ORLANDO, FL, 328111105, US

Contacts

Phone +1 407-296-9966

Authorized person

Name KENNY HEINE
Role VP OF OPERATIONS
Phone 8589641506

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
License Number ME85486
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL FLORIDA INTERNISTS 401K PSP 2019 593757174 2020-07-05 CENTRAL FLORIDA INTERNISTS, INC. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3212295300
Plan sponsor’s address 8866 DARLENE DR, ORLANDO, FL, 32836

Signature of

Role Plan administrator
Date 2020-07-05
Name of individual signing MUHAMMAD AMIR KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS 401K PSP 2018 593757174 2019-07-15 CENTRAL FLORIDA INTERNISTS, INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3215250257
Plan sponsor’s address 3505 PROGRESS LANE, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing MUHAMMAD KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS 401K PSP 2017 593757174 2018-08-23 CENTRAL FLORIDA INTERNISTS, INC. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3215250257
Plan sponsor’s address 3505 PROGRESS LANE, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2018-08-23
Name of individual signing NANCY MALDONADO
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2016 593757174 2018-01-25 CENTRAL FLORIDA INTERNISTS, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LANE, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2018-01-25
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2015 593757174 2016-07-25 CENTRAL FLORIDA INTERNISTS, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LANE, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2014 593757174 2015-10-15 CENTRAL FLORIDA INTERNISTS, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LANE, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2012 593757174 2013-06-07 CENTRAL FLORIDA INTERNISTS, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LN, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2013-06-07
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2012 593757174 2013-05-07 CENTRAL FLORIDA INTERNISTS, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LN, ST. CLOUD, FL, 34769

Signature of

Role Plan administrator
Date 2013-05-07
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2011 593757174 2012-12-26 CENTRAL FLORIDA INTERNISTS, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LN, ST. CLOUD, FL, 34769

Plan administrator’s name and address

Administrator’s EIN 593757174
Plan administrator’s name CENTRAL FLORIDA INTERNISTS, INC.
Plan administrator’s address 3505 PROGRESS LN, ST. CLOUD, FL, 34769
Administrator’s telephone number 4078918044

Signature of

Role Plan administrator
Date 2012-12-26
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA INTERNISTS, INC. 401(K) PROFIT SHARING PLAN 2010 593757174 2012-12-26 CENTRAL FLORIDA INTERNISTS, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4078918044
Plan sponsor’s address 3505 PROGRESS LN, ST. CLOUD, FL, 34769

Plan administrator’s name and address

Administrator’s EIN 593757174
Plan administrator’s name CENTRAL FLORIDA INTERNISTS, INC.
Plan administrator’s address 3505 PROGRESS LN, ST. CLOUD, FL, 34769
Administrator’s telephone number 4078918044

Signature of

Role Plan administrator
Date 2012-12-26
Name of individual signing MUHAMMAD A. KHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Asma & Asma PA Agent 884 S Dillard Street, Winter Garden, FL, 34787

President

Name Role Address
KHAN MUHAMMAD A President 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741

Secretary

Name Role Address
KHAN MUHAMMAD A Secretary 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741

Treasurer

Name Role Address
KHAN MUHAMMAD A Treasurer 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741

Director

Name Role Address
KHAN MUHAMMAD A Director 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741
SHAH SANJAY B Director 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741
NASEERUDDIN SYED Director 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741
HIZKIL MUHAMMAD Director 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741

Assistant Secretary

Name Role Address
SHAH SANJAY B Assistant Secretary 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741
NASEERUDDIN SYED Assistant Secretary 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741
HIZKIL MUHAMMAD Assistant Secretary 721 OAK COMMONS BLVD, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2006-01-04 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10001107694 LAPSED 2010-SC-005178-O CIRCUIT COURT ORANGE COUNTY FL 2010-10-25 2015-12-08 $3210.49 MARSHALL MEDICAL FORMS INC, 707 NICOLET AVE, STE 102, WINTER PARK FL 32789

Date of last update: 01 Jan 2025

Sources: Florida Department of State