| Entity Name: | FLORIDA INFECTIOUS DISEASE SPECIALISTS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 May 2012 (13 years ago) |
| Document Number: | P12000049439 |
| FEI/EIN Number | 45-5436649 |
| Address: | 102 Park Place Blvd, Building D, Suite 2 & 3, Kissimmie, FL 34741 |
| Mail Address: | 10407 Emerald Woods Ave, Orlando, FL 32836 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801143136 | 2012-08-06 | 2022-07-21 | 10407 EMERALD WOODS AVE, ORLANDO, FL, 328365971, US | 102 PARK PLACE BLVD BLDG D, KISSIMMEE, FL, 347412358, US | |||||||||||||||||
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| Phone | +1 321-229-3505 |
| Phone | +1 407-944-4900 |
| Fax | 4074830688 |
Authorized person
| Name | DR. SHOAIB SIDDIQUI |
| Role | PRESIDENT |
| Phone | 3212293505 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA INFECTIOUS DISEASE SPECIALISTS, INC. 401(K) PSP | 2023 | 455436649 | 2024-09-24 | FLORIDA INFECTIOUS DISEASE SPECIALISTS, INC. | 9 | |||||||||||||
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| FLORIDA INFECTIOUS DISEASE SPECIALISTS, INC. CASH BALANCE PLAN | 2023 | 455436649 | 2024-09-30 | FLORIDA INFECTIOUS DISEASE SPECIALISTS, INC. | 5 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| SIDDIQUI, SHOAIB | Agent | 102 Park Place Blvd, Building D, Suite 2 & 3, Kissimmie, FL 34741 |
| Name | Role | Address |
|---|---|---|
| CHAUDHARY, SAJID R | Director | 102 Park Place Blvd, Building D Suite 2 & 3 KISSIMMEE, FL 34741 |
| SIDDIQUI, SHOAIB A | Director | 102 Park Place Blvd, Building D Suite 2 & 3 KISSIMMEE, FL 34741 |
| NAWAB, MEHMOOD | Director | 102 Park Place Blvd, Building D Suite 2 & 3 KISSIMMEE, FL 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-21 | 102 Park Place Blvd, Building D, Suite 2 & 3, Kissimmie, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-12 | SIDDIQUI, SHOAIB | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-22 | 102 Park Place Blvd, Building D, Suite 2 & 3, Kissimmie, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-22 | 102 Park Place Blvd, Building D, Suite 2 & 3, Kissimmie, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-03-12 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
