| Entity Name: | DESTINY MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Mar 2006 (19 years ago) |
| Document Number: | P06000039831 |
| FEI/EIN Number | 204536785 |
| Address: | 1730 SW 1ST AVE, OCALA, FL, 34471, US |
| Mail Address: | P.O. BOX 36, OCALA, FL, 34478 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922041193 | 2006-06-14 | 2020-08-22 | PO BOX 36, OCALA, FL, 344780036, US | 150 SE 17TH ST, SUITE 801, OCALA, FL, 344715178, US | |||||||||||||||||||
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| Phone | +1 352-622-4888 |
| Fax | 3526944884 |
Authorized person
| Name | JOSEPH AZIEGBEMI OIBO |
| Role | MEDICAL DIRECTOR |
| Phone | 3526224888 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 70676 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DESTINY MEDICAL ASSOCIATES 401(K) P/S PLAN | 2009 | 204536785 | 2010-10-15 | DESTINY MEDICAL ASSOCIATES | 2 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 204536785 |
| Plan administrator’s name | DESTINY MEDICAL ASSOCIATES |
| Plan administrator’s address | 150 SE 17TH STREET, 801, OCALA, FL, 34471 |
| Administrator’s telephone number | 3526224888 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | JOSEPH OIBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PERRY RICHARD A | Agent | 820 E.FORT KING STREET, OCALA, FL, 344712320 |
| Name | Role | Address |
|---|---|---|
| OIBO JOSEPH A | Director | 1730 SW 1ST AVE, OCALA, FL, 34471 |
| OIBO MERCY U | Director | 1730 SW 1ST AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-13 | 820 E.FORT KING STREET, OCALA, FL 34471-2320 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 1730 SW 1ST AVE, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2009-08-31 | 1730 SW 1ST AVE, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5423777301 | 2020-04-30 | 0491 | PPP | 1730 SW 1ST AVE, OCALA, FL, 34471 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
