Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Marion
    4. ›
  4. 34471
    5. ›
  5. ALLIANCE MEDICAL ASSOCIATES, INC.

ALLIANCE MEDICAL ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: ALLIANCE MEDICAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ALLIANCE MEDICAL ASSOCIATES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 06 Nov 2002 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 24 Oct 2023 (a year ago)
Document Number: P02000119799
FEI/EIN Number 010752705

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1800 SE 17TH STREET, BUILDING 800, OCALA, FL, 34471
Mail Address: 1800 SE 17TH STREET, BUILDING 800, OCALA, FL, 34471
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174577175 2006-05-22 2013-03-08 1800 SE 17TH ST, BLDG 800, OCALA, FL, 344714191, US 1800 SE 17TH STREET, BLD 800, OCALA, FL, 34471, US

Contacts
Phone +1 352-622-7268
Fax 3526226045

Authorized person
Name MRS. TAMMY LYNN BOSSIO
Role BILLING COORDINATOR
Phone 3526227268

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 270788800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLIANCE MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2023 010752705 2024-09-10 ALLIANCE MEDICAL ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2024-09-10
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-10
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2022 010752705 2023-10-09 ALLIANCE MEDICAL ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2021 010752705 2022-06-27 ALLIANCE MEDICAL ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-27
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2020 010752705 2021-04-23 ALLIANCE MEDICAL ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2021-04-23
Name of individual signing JO ANN IRWIN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2019 010752705 2020-05-04 ALLIANCE MEDICAL ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing JO ANN IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2018 010752705 2019-06-19 ALLIANCE MEDICAL ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing JOANN IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing ANWAR KHAN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2017 010752705 2018-06-01 ALLIANCE MEDICAL ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2018-06-01
Name of individual signing JOANN IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-01
Name of individual signing JOANN IRWIN
Valid signature Filed with incorrect/unrecognized electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2016 010752705 2017-07-14 ALLIANCE MEDICAL ASSOCIATES, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing JOANN IRWIN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2015 010752705 2016-07-06 ALLIANCE MEDICAL ASSOCIATES, INC 15
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing JOANN IRWIN
Valid signature Filed with authorized/valid electronic signature
ALLIANCE MEDICAL ASSOCIATES, INC 401(K) PROFIT SHARING PLAN 2015 010752705 2017-07-14 ALLIANCE MEDICAL ASSOCIATES, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3526227268
Plan sponsor’s address 1800 SE 17TH STREET BLD 800, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing JOANN IRWIN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KHAN ANWAR A Agent 1800 SE 17TH STREET, OCALA, FL, 34471
KHAN ANWAR A Director 3310 SW 58TH STREET, OCALA, FL, 34471
KANG MYEONG W Director 7254 SE 12TH CIRCLE, OCALA, FL, 34480
TE JESSIE D Director 684 SE 47TH LOOP, OCALA, FL, 34480

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-24 - -
REGISTERED AGENT NAME CHANGED 2023-10-24 KHAN, ANWAR AM.D. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CANCEL ADM DISS/REV 2003-10-16 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2024-07-12
REINSTATEMENT 2023-10-24
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-01-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2753397206 2020-04-16 0491 PPP 1800 Se 17th Street, Ocala, FL, 34471-4191
Loan Status Date 2021-08-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 158500
Loan Approval Amount (current) 158500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ocala, MARION, FL, 34471-4191
Project Congressional District FL-03
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 160410.68
Forgiveness Paid Date 2021-07-09

Companies related by officers

KHAN ANWAR A

LEAD LOGISTICS SERVICES LLC - Inactive
Florida Limited Liability Co. (2022 - 2023)
ISLAMIC RELIEF USA CORP. - Active
Foreign Non-Profit (2014 )
BLUEWATER LEGACY FOUNDATION,INC - Active
Domestic Non-Profit (2021 )
17TH STREET ALLIANCE MANAGEMENT CORPORATION - Active
Domestic Profit (2002 )
17TH STREET ALLIANCE MANAGEMENT CORPORATION - Active
Domestic Profit (2002 )

KANG MYEONG W

MS2B, LLC - Inactive
Florida Limited Liability Co. (2011 - 2017)
SORAMIRAE, LLC - Active
Florida Limited Liability Co. (2014 )
17TH STREET ALLIANCE MANAGEMENT CORPORATION - Active
Domestic Profit (2002 )

TE JESSIE D

17TH STREET ALLIANCE MANAGEMENT CORPORATION - Active
Domestic Profit (2002 )

Companies related by address

No other companies in our directory share the same address as ALLIANCE MEDICAL ASSOCIATES, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated