Entity Name: | SIVA MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 Aug 2006 (18 years ago) |
Document Number: | P06000112035 |
FEI/EIN Number | 205459949 |
Address: | 2845 SE 3RD CT, OCALA, FL, 34471, US |
Mail Address: | 2845 SE 3RD CT, OCALA, FL, 34471 |
ZIP code: | 34471 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003912338 | 2006-09-15 | 2010-10-14 | 2845 SE 3RD CT, OCALA, FL, 34471, US | 2845 SE 3RD CT, OCALA, FL, 34471, US | |||||||||||||||||||||||||||||||
|
Phone | +1 352-369-5300 |
Fax | 3523695309 |
Authorized person
Name | DR. RATNASABAPATHY SIVASEKARAN |
Role | OWNER |
Phone | 3523695300 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME90344 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 000WQ |
State | FL |
Issuer | MEDICAID |
Number | 270559100 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SIVA M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST | 2016 | 205459949 | 2017-10-02 | SIVA MD PA | 15 | |||||||||||||||||||||||
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SIVA M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST | 2015 | 205459949 | 2016-08-02 | SIVA MD PA | 10 | |||||||||||||||||||||||
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SIVA M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST | 2014 | 205459949 | 2015-06-19 | SIVA MD PA | 7 | |||||||||||||||||||||||
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SIVA MD PA 401(K) PROFIT SHARING PLAN & TRUST | 2013 | 205459949 | 2014-10-07 | SIVA MD PA | 5 | |||||||||||||||||||||||
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SIVA MD PA 401 K PROFIT SHARING PLAN TRUST | 2012 | 205459949 | 2013-07-31 | SIVA MD PA | 3 | |||||||||||||||||||||||
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Role | Plan administrator |
Date | 2013-07-31 |
Name of individual signing | SIVA MD PA |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
SIVASEKARAN RATNASABAPATHY | Agent | 2845 SE 3RD CT, OCALA, FL, 34471 |
Name | Role | Address |
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Sivasekaran Ratnasabapathy | President | 2845 SE 3RD CT, OCALA, FL, 34471 |
Name | Role | Address |
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Sivasekaran Ratnasabapathy | Secretary | 2845 SE 3RD CT, OCALA, FL, 34471 |
Name | Role | Address |
---|---|---|
Sivasekaran Ratnasabapathy | Treasurer | 2845 SE 3RD CT, OCALA, FL, 34471 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-01-22 | 2845 SE 3RD CT, OCALA, FL 34471 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-02-28 | 2845 SE 3RD CT, OCALA, FL 34471 | No data |
CHANGE OF MAILING ADDRESS | 2010-03-10 | 2845 SE 3RD CT, OCALA, FL 34471 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-19 |
ANNUAL REPORT | 2023-03-01 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-01-22 |
ANNUAL REPORT | 2020-01-21 |
ANNUAL REPORT | 2019-02-19 |
ANNUAL REPORT | 2018-02-28 |
ANNUAL REPORT | 2017-01-06 |
ANNUAL REPORT | 2016-01-25 |
ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State