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  5. JMJ FAMILY PRACTICE, INC.

JMJ FAMILY PRACTICE, INC.

Company Details

Entity Name: JMJ FAMILY PRACTICE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Jan 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2018 (6 years ago)
Document Number: P05000003720
FEI/EIN Number 161713885
Address: 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741
Mail Address: 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295828887 2006-10-02 2019-09-12 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414902, US 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741, US

Contacts
Phone +1 407-935-9012
Fax 4079359108

Authorized person
Name DR. JOSE RAMON FERNANDEZ
Role MEDICAL DOCTOR / OWNER
Phone 4079359012

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2023 161713885 2024-05-28 JMJ FAMILY PRACTICE, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2022 161713885 2023-12-13 JMJ FAMILY PRACTICE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2023-12-13
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2021 161713885 2022-05-23 JMJ FAMILY PRACTICE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2020 161713885 2022-04-21 JMJ FAMILY PRACTICE, INC. 17
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2022-04-21
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2020 161713885 2022-05-23 JMJ FAMILY PRACTICE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2019 161713885 2022-04-21 JMJ FAMILY PRACTICE, INC. 15
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2022-04-21
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2019 161713885 2022-05-23 JMJ FAMILY PRACTICE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing JENNIFER AVEGNO
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE, INC. 401K PROFIT SHARING PLAN AND TRUST 2015 161713885 2016-09-30 JMJ FAMILY PRACTICE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8632422136
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Signature of
Role Plan administrator
Date 2016-09-30
Name of individual signing SONIA ARCE
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE INC 401 K PROFIT SHARING PLAN TRUST 2013 161713885 2014-06-24 JMJ FAMILY PRACTICE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621510
Sponsor’s telephone number 4079359012
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414902

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing NELLY RUIZ
Valid signature Filed with authorized/valid electronic signature
JMJ FAMILY PRACTICE 401 K PROFIT SHARING PLAN TRUST 2012 161713885 2013-07-31 JMJ FAMILY PRACTICE INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621510
Sponsor’s telephone number 4079359012
Plan sponsor’s address 300 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414902

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing JMJ FAMILY PRACTICE INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Fernandez Jose RDr. Agent 300 N. John Young Pkwy, Kissimmee, FL, 34741

President

Name Role Address
FERNANDEZ JOSE R President 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Secretary

Name Role Address
FERNANDEZ JOSE R Secretary 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Treasurer

Name Role Address
FERNANDEZ JOSE R Treasurer 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-26 300 N. John Young Pkwy, Kissimmee, FL 34741 No data
REGISTERED AGENT NAME CHANGED 2019-04-26 Fernandez, Jose R, Dr. No data
REINSTATEMENT 2018-10-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2016-10-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-01-07 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2008-01-07 300 N. JOHN YOUNG PKWY, KISSIMMEE, FL 34741 No data
CANCEL ADM DISS/REV 2008-01-02 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-04-26
REINSTATEMENT 2018-10-08
ANNUAL REPORT 2017-01-11
REINSTATEMENT 2016-10-26
ANNUAL REPORT 2015-01-09

Related by officers

FERNANDEZ JOSE R

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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