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  5. PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER, INC.

PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER, INC.

Company Details

Entity Name: PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Mar 2002 (23 years ago)
Date of dissolution: 01 Jul 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 Jul 2021 (4 years ago)
Document Number: P02000032540
FEI/EIN Number 030427122
Address: 3450 E FLETCHER AVE, #240, TAMPA, FL, 33613, US
Mail Address: 3450 E FLETCHER AVE, #240, TAMPA, FL, 33613, US
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891868972 2006-11-16 2010-09-10 3450 E FLETCHER AVE, SUITE 240, TAMPA, FL, 336134655, US 3450 E FLETCHER AVE, SUITE 240, TAMPA, FL, 336134655, US

Contacts
Phone +1 813-558-1477

Authorized person
Name JEFF CLARK
Role PRESIDENT
Phone 8135581477

Taxonomy
Taxonomy Code 231H00000X - Audiologist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2020 030427122 2021-07-21 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE, SUITE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-21
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2019 030427122 2020-05-27 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE, SUITE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-27
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2018 030427122 2019-07-22 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE, SUITE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-22
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2017 030427122 2018-07-25 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE, SUITE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2016 030427122 2017-04-25 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE., STE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2017-04-25
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2015 030427122 2016-06-07 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE., STE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2014 030427122 2015-04-14 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE., STE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2015-04-14
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2013 030427122 2014-07-01 PHYSICIAN'S CHOICE HEARING & DIZZINESS CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8135581477
Plan sponsor’s address 3450 E. FLETCHER AVE., STE 240, TAMPA, FL, 33613

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing SCOTT SIMS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Physician's Choice Hearing & Dizziness Cen Agent 3450 EAST FLETCHER AVE, TAMPA, FL, 33613

President

Name Role Address
CLARK LESLEY A President 10410 Shalimar Wood Dr, Thonotosassa, FL, 33592

Vice President

Name Role Address
SIMS SCOTT A Vice President 3310 Mapleridge Dr, Lutz, FL, 33558

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000031606 TAMPA BAY HEARING & DIZZINESS CENTER EXPIRED 2010-04-08 2015-12-31 No data 3450 E. FLETCHER AVENUE, SUITE 240, TAMPA, FL, 33613
G10000031615 TAMPA HEARING & DIZZINESS CENTER EXPIRED 2010-04-08 2015-12-31 No data 3450 E. FLETCHER AVENUE, SUITE 240, TAMPA, FL, 33613
G10000031620 TAMPA AUDIOLOGY & HEARING AID CENTER EXPIRED 2010-04-08 2015-12-31 No data 3450 E. FLETCHER AVENUE, SUITE 240, TAMPA, FL, 33613
G10000032309 SUN CITY CENTER AUDIOLOGY & HEARING AID CENTER EXPIRED 2010-04-08 2015-12-31 No data 3450 E. FLETCHER AVENUE, SUITE 240, TAMPA, FL, 33613
G10000032310 SUN CITY CENTER HEARING & BALANCE CENTER EXPIRED 2010-04-08 2015-12-31 No data 3450 E. FLETCHER AVENUE, SUITE 240, TAMPA, FL, 33613

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-07-01 No data No data
REGISTERED AGENT NAME CHANGED 2021-02-03 Physician’s Choice Hearing & Dizziness Center Inc No data
REINSTATEMENT 2006-11-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2006-11-28 3450 EAST FLETCHER AVE, SUITE 240, TAMPA, FL 33613 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-07-05 3450 E FLETCHER AVE, #240, TAMPA, FL 33613 No data
CHANGE OF MAILING ADDRESS 2005-07-05 3450 E FLETCHER AVE, #240, TAMPA, FL 33613 No data
AMENDMENT 2002-04-18 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-07-01
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-03-23
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-01-09

Related by officers

SIMS SCOTT A

SCOTT SIMS PAINTING, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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