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ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A.

Company Details

Entity Name: ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Nov 2010 (14 years ago)
Document Number: P10000091301
FEI/EIN Number 273921462
Address: 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32117, US
Mail Address: 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32117, US
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790081321 2011-01-29 2021-01-19 305 MEMORIAL MEDICAL PKWY STE 501, DAYTONA BEACH, FL, 321175170, US 305 MEMORIAL MEDICAL PKWY STE 501, DAYTONA BEACH, FL, 321175170, US

Contacts

Phone +1 386-615-0900
Fax 3866150902

Authorized person

Name DR. DANY A OBEID
Role OWNER / PHYSICIAN
Phone 3866150900

Taxonomy

Taxonomy Code 207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 003815901
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2019 273921462 2020-05-01 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2018 273921462 2019-10-15 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2017 273921462 2018-10-15 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2017 273921462 2019-10-15 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2016 273921462 2019-10-15 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2016 273921462 2018-01-29 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2015 273921462 2019-10-15 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2015 273921462 2016-10-17 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2014 273921462 2015-10-01 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing TINA FUTCH
Valid signature Filed with authorized/valid electronic signature
ADVANCED SLEEP AND RESIPIRATORY INSTITUTE, PA 401(K) PLAN 2013 273921462 2014-10-01 ADVANCED SLEEP AND RESPIRATORY INSTITUTE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3866150900
Plan sponsor’s address 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL, 32124

Signature of

Role Plan administrator
Date 2014-10-01
Name of individual signing ROCHELLE CANNON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OBEID DANY Agent 305 MEMORIAL MEDICAL PARKWAY, DAYTONA BEACH, FL, 32117

President

Name Role Address
OBEID DANY A President 305 MEMORIAL MEDICAL PARKWAY, DAYTONA BEACH, FL, 32117

Director

Name Role Address
OBEID DANY A Director 305 MEMORIAL MEDICAL PARKWAY, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-16 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL 32117 No data
REGISTERED AGENT NAME CHANGED 2015-01-20 OBEID, DANY No data
CHANGE OF PRINCIPAL ADDRESS 2012-03-26 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL 32117 No data
CHANGE OF MAILING ADDRESS 2012-03-26 305 MEMORIAL MEDICAL PARKWAY, SUITE 501, DAYTONA BEACH, FL 32117 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-01-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State