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  5. FLORIDA MEDICAL TRANSPORT INC.

FLORIDA MEDICAL TRANSPORT INC.

Company Details

Entity Name: FLORIDA MEDICAL TRANSPORT INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 21 Nov 2012 (12 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P12000096484
FEI/EIN Number 46-1449415
Address: 2500 W Lake Mary Blvd, SUITE 107, Lake Mary, FL 32746
Mail Address: PO Box 952124, Lake Mary, FL 32795
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346585627 2012-11-28 2012-11-28 389 E SR 434 STE 100, LONGWOOD, FL, 327505217, US 389 E SR 434 STE 100, LONGWOOD, FL, 327505217, US

Contacts
Phone +1 407-260-1230

Authorized person
Name MR. ABBAS MUKHI
Role PRESIDENT
Phone 5165892369

Taxonomy
Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA MEDICAL TRANSPORT INC 401 K PROFIT SHARING PLAN TRUST 2017 461449415 2018-09-26 FLORIDA MEDICAL TRANSPORT INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 485210
Sponsor’s telephone number 5165892369
Plan sponsor’s address 2500 W LAKE MARY BLVD, SUITE 215, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL TRANSPORT IN 401(K) PROFIT SHARING PLAN & TRUST 2017 461449415 2018-07-16 FLORIDA MEDICAL TRANSPORT INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 485210
Sponsor’s telephone number 5165892369
Plan sponsor’s address 2500 W LAKE MARY BLVD STE 215, LAKE MARY, FL, 327463501

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL TRANSPORT INC 401 K PROFIT SHARING PLAN TRUST 2017 461449415 2018-03-26 FLORIDA MEDICAL TRANSPORT INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 485210
Sponsor’s telephone number 5165892369
Plan sponsor’s address 2500 W LAKE MARY BLVD, SUITE 215, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2018-03-26
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL TRANSPORT INC 401 K PROFIT SHARING PLAN TRUST 2016 461449415 2017-06-08 FLORIDA MEDICAL TRANSPORT INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 485210
Sponsor’s telephone number 5165892369
Plan sponsor’s address 2500 W LAKE MARY BLVD, SUITE 215, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL TRANSPORT INC. 401 K PROFIT SHARING PLAN TRUST 2015 461449415 2016-06-17 FLORIDA MEDICAL TRANSPORT INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 485210
Sponsor’s telephone number 5165892369
Plan sponsor’s address 2500 W LAKE MARY BLVD SUITE #1, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Mukhi, Alex Agent 2500 W Lake Mary Blvd, SUITE 107, Lake Mary, FL 32746

Officer

Name Role Address
Mukhi, Alex Officer 2500 W Lake Mary Blvd, SUITE 107 Lake Mary, FL 32746

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2019-07-15 No data No data
REGISTERED AGENT NAME CHANGED 2019-04-17 Mukhi, Alex No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-17 2500 W Lake Mary Blvd, SUITE 107, Lake Mary, FL 32746 No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-16 2500 W Lake Mary Blvd, SUITE 107, Lake Mary, FL 32746 No data
CHANGE OF MAILING ADDRESS 2017-04-29 2500 W Lake Mary Blvd, SUITE 107, Lake Mary, FL 32746 No data
AMENDMENT 2016-09-27 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000124636 ACTIVE 14-658-D4 LEON COUNTY 2023-01-20 2028-03-28 $392.10 DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228
J23000185868 ACTIVE 2020CC-1859 POLK CTY CT 10TH JUD CIR 2021-03-15 2028-04-27 $15,282.02 RETAIL FIRST INSURANCE COMPANY, 2310 COMMERCE POINT DRIVE, LAKELAND, FL 33801

Documents

Name Date
AMENDED ANNUAL REPORT 2019-11-21
Amendment 2019-07-15
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-29
Amendment 2016-09-27
Off/Dir Resignation 2016-08-17
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-01-10
AMENDED ANNUAL REPORT 2014-11-25

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Feb 2025

Sources: Florida Department of State

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