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  5. SAXON INTERNAL MEDICINE, P.A.

SAXON INTERNAL MEDICINE, P.A.

Company Details

Entity Name: SAXON INTERNAL MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 May 2012 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 11 Oct 2012 (12 years ago)
Document Number: P12000045147
FEI/EIN Number 45-5299949
Address: 2574 S VOLUSIA AVE, ORANGE CITY, FL, 32763, US
Mail Address: 2574 S VOLUSIA AVE, ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164782637 2012-05-18 2016-05-26 2574 S VOLUSIA AVE, ORANGE CITY, FL, 327639123, US 2574 S VOLUSIA AVE, ORANGE CITY, FL, 327639123, US

Contacts
Phone +1 386-775-1086
Fax 3867758990

Authorized person
Name UZMA AHMED KHURSHID
Role BUSINESS OWNER
Phone 4076945984

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2023 455299949 2024-10-04 SAXON INTERNAL MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2022 455299949 2023-10-11 SAXON INTERNAL MEDICINE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2021 455299949 2022-10-14 SAXON INTERNAL MEDICINE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2020 455299949 2021-10-13 SAXON INTERNAL MEDICINE, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2019 455299949 2020-09-21 SAXON INTERNAL MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2018 455299949 2019-10-03 SAXON INTERNAL MEDICINE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2017 455299949 2018-10-03 SAXON INTERNAL MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2016 455299949 2017-10-05 SAXON INTERNAL MEDICINE, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763
SAXON INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2015 455299949 2016-08-30 SAXON INTERNAL MEDICINE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867751086
Plan sponsor’s address 2574 S. VOLUSIA AVE., ORANGE CITY, FL, 32763

Agent

Name Role Address
AHMED UZMA Agent 216 Arezzo Court, SANFORD, FL, 32771

Chief Executive Officer

Name Role Address
AHMED UZMA Chief Executive Officer 216 Arezzo Court, SANFORD, FL, 32771

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-17 216 Arezzo Court, SANFORD, FL 32771 No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-06 2574 S VOLUSIA AVE, ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2016-04-06 2574 S VOLUSIA AVE, ORANGE CITY, FL 32763 No data
AMENDMENT 2012-10-11 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-03-29
AMENDED ANNUAL REPORT 2022-10-23
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-01
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-04
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-06

Related by officers

AHMED UZMA

BLUE SPRING INTERNAL MEDICINE, LLC AJ MEDICAL ASSOCIATES, P.L.C.

Related by address

2574 S VOLUSIA AVE, ORANGE CITY, FL, 32763, US

AMKSTORES LLC

2574 S VOLUSIA AVE, ORANGE CITY, FL, 32763, US

AMKSTORES LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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