| Entity Name: | LEHIGH PULMONARY ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Oct 2002 (22 years ago) |
| Document Number: | P02000116707 |
| FEI/EIN Number | 383663582 |
| Mail Address: | PO BOX 3445, N FORT MYERS, FL, 33918, US |
| Address: | 2625 LEE BLVD, SUITE 100, LEHIGH ACRES, FL, 33936 |
| ZIP code: | 33936 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255006375 | 2021-08-11 | 2021-08-11 | PO BOX 3445, NORTH FORT MYERS, FL, 339183445, US | 14651 PALM BEACH BLVD STE 105, FORT MYERS, FL, 339052331, US | |||||||||||||||||||||
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| Phone | +1 239-369-3333 |
| Fax | 2393694837 |
Authorized person
| Name | DR. ALAA A EL-GENDY |
| Role | MEDICAL DIRECTOR |
| Phone | 2393693333 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000657702 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA LUNG & SLEEP ASSOCIATES 401(K) PLAN | 2023 | 383663582 | 2024-06-29 | LEHIGH PULMONARY ASSOCIATES | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-29 |
| Name of individual signing | AHMED EL-GENDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2393693333 |
| Plan sponsor’s address | PO BOX 3445, N FORT MYERS, FL, 33918 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-24 |
| Name of individual signing | AHMED EL-GENDY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2393693333 |
| Plan sponsor’s address | PO BOX 3445, N FORT MYERS, FL, 33918 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-13 |
| Name of individual signing | KAREN ZYRA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2393693333 |
| Plan sponsor’s address | PO BOX 3445, N FORT MYERS, FL, 33918 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-02 |
| Name of individual signing | KAREN ZYRA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| EL-GENDY ALAA A | Agent | 2625 LEE BLVD, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| EL-GENDY ALAA A | Director | PO BOX 3445, N FORT MYERS, FL, 33918 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04279900125 | FLORIDA LUNG & SLEEP ASSOCIATES | ACTIVE | 2004-10-05 | 2029-12-31 | No data | P.O. BOX 3445, NORTH FORT MYERS, FL, 33918 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-23 | 2625 LEE BLVD, SUITE 100, LEHIGH ACRES, FL 33936 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-28 | 2625 LEE BLVD, SUITE 100, LEHIGH ACRES, FL 33936 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-16 | 2625 LEE BLVD, SUITE 100, LEHIGH ACRES, FL 33936 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
