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  5. DR JAVIER LUGO, MD, INC

DR JAVIER LUGO, MD, INC

Company Details

Entity Name: DR JAVIER LUGO, MD, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Dec 2008 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2014 (10 years ago)
Document Number: P08000108407
FEI/EIN Number 263866838
Address: 4081 TAMIAMI TRAIL NORTH, C-101, NAPLES, FL, 34103
Mail Address: 4081 TAMIAMI TRAIL NORTH, C-101, NAPLES, FL, 34103
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972938108 2013-09-06 2013-09-06 4081 TAMIAMI TRL N, SUITE C101, NAPLES, FL, 341038738, US 4081 TAMIAMI TRL N, SUITE C101, NAPLES, FL, 341038738, US

Contacts
Phone +1 239-263-4133
Fax 2392634189

Authorized person
Name DR. JAVIER G LUGO
Role OWNER
Phone 2392634133

Taxonomy
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number 65726
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. JAVIER LUGO MD INC. 401(K) PROFIT SHARING PLAN 2023 263866838 2024-09-13 DR. JAVIER LUGO MD INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRAIL N SUITE C101, NAPLES, FL, 34103

Signature of
Role Plan administrator
Date 2024-09-13
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-13
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401(K) PROFIT SHARING PLAN & TRUST 2022 263866838 2023-06-16 DR JAVIER LUGO MD INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401(K) PROFIT SHARING PLAN & TRUST 2021 263866838 2022-04-02 DR JAVIER LUGO MD INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2022-04-02
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2018 263866838 2019-05-21 DR JAVIER LUGO MD INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2017 263866838 2018-07-08 DR JAVIER LUGO MD INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2018-07-08
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2016 263866838 2017-06-15 DR JAVIER LUGO MD INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2017-06-15
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2015 263866838 2016-05-20 DR JAVIER LUGO MD INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing JAVIER G LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2014 263866838 2015-06-04 DR JAVIER LUGO MD INC 2
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2013 263866838 2014-05-06 DR JAVIER LUGO MD INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2014-05-06
Name of individual signing JAVIER LUGO
Valid signature Filed with authorized/valid electronic signature
DR JAVIER LUGO MD INC 401 K PROFIT SHARING PLAN TRUST 2012 263866838 2013-05-29 DR JAVIER LUGO MD INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2392634133
Plan sponsor’s address 4081 TAMIAMI TRL N STE C101, NAPLES, FL, 341033573

Signature of
Role Plan administrator
Date 2013-05-29
Name of individual signing DR JAVIER LUGO MD INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LUGO JAVIER GDr. Agent 4081 TAMIAMI TRAIL NORTH, NAPLES, FL, 34103

President

Name Role Address
LUGO JAVIER G President 4801 TAMIAMI TRAIL NORTH SUITE C-101, NAPLES, FL, 34103

Events

Event Type Filed Date Value Description
REINSTATEMENT 2014-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
REGISTERED AGENT NAME CHANGED 2013-01-27 LUGO, JAVIER G, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2009-02-16 4081 TAMIAMI TRAIL NORTH, C-101, NAPLES, FL 34103 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-03-19
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-01-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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