| Entity Name: | SARASOTA IMMEDIATE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Oct 2006 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Nov 2022 (2 years ago) |
| Document Number: | P06000137640 |
| FEI/EIN Number | 383744482 |
| Address: | 7013 S. TAMIAMI TRAIL, SARASOTA, FL, 34231, US |
| Mail Address: | 7013 S. TAMIAMI TRAIL, SARASOTA, FL, 34231, US |
| ZIP code: | 34231 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538239116 | 2006-11-09 | 2021-04-28 | 7013 S TAMIAMI TRL, SARASOTA, FL, 342315552, US | 7013 S TAMIAMI TRL, SARASOTA, FL, 342315552, US | |||||||||||||||||||||||||||
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| Phone | +1 941-870-4440 |
| Fax | 9418702568 |
Authorized person
| Name | JOSEPH A SASSANO |
| Role | MEDICAL DIRECTOR |
| Phone | 9418704440 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FL |
| Number | 98845 |
| State | FL |
| Issuer | RR MEDICARE |
| Number | DG0938 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SARASOTA IMMEDIATE CARE 401(K) PLAN | 2023 | 383744482 | 2024-08-14 | SARASOTA IMMEDIATE CARE | 12 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-14 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9418704440 |
| Plan sponsor’s address | 7013 S TAMIAMI TRL, SARASOTA, FL, 34231 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OSENBAUGH ALAN | Agent | 7013 S. TAMIAMI TRAIL, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| OSENBAUGH ALAN | President | 7013 S. TAMIAMI TRAIL, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| OSENBAUGH ALAN | Chief Executive Officer | 7013 S. TAMIAMI TRAIL, SARASOTA, FL, 34231 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08263700008 | SARASOTA VEIN CARE | EXPIRED | 2008-09-19 | 2013-12-31 | No data | 7005 S. TAMIAMI TRAIL, SARASOTA, FL, 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-11-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-16 | OSENBAUGH, ALAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-16 | 7013 S. TAMIAMI TRAIL, SARASOTA, FL 34231 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-17 | 7013 S. TAMIAMI TRAIL, SARASOTA, FL 34231 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-17 | 7013 S. TAMIAMI TRAIL, SARASOTA, FL 34231 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-24 |
| Amendment | 2022-11-16 |
| ANNUAL REPORT | 2022-05-11 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-05-17 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
