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  5. SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA PA

SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA PA

Company Details

Entity Name: SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Apr 2013 (12 years ago)
Document Number: P13000038478
FEI/EIN Number 32-0408659
Address: 351 NW LEJEUNE ROAD, SUITE 308, MIAMI, FL, 33126, US
Mail Address: 351 NW LEJEUNE ROAD, SUITE 308, MIAMI, FL, 33126, US
ZIP code: 33126
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063858140 2013-05-16 2013-06-03 1350 SW 57TH AVE, SUITE 210, WEST MIAMI, FL, 331445775, US 1350 SW 57TH AVE, SUITE 210, WEST MIAMI, FL, 331445775, US

Contacts
Phone +1 305-994-1825
Fax 3055085519

Authorized person
Name DR. EDWARD MEZERHANE
Role OWNER
Phone 3059941825

Taxonomy
Taxonomy Code 207RS0012X - Sleep Medicine (Internal Medicine) Physician
License Number ME108143
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2023 320408659 2024-05-03 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2022 320408659 2023-05-26 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2021 320408659 2022-05-19 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2020 320408659 2021-05-26 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2019 320408659 2020-06-08 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2018 320408659 2020-05-18 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-18
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 401(K) PLAN 2018 320408659 2019-07-17 SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA, PA 9
Three-digit plan number (PN) 001
Effective date of plan 2018-01-12
Business code 621111
Sponsor’s telephone number 3059941825
Plan sponsor’s address 351 NW 42 AVENUE, SUITE 308, MIAMI, FL, 33126

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MEZERHANE EDWARD Agent 351 NW LEJEUNE ROAD, MIAMI, FL, 33126

President

Name Role Address
MEZERHANE EDWARD President 351 NW LEJEUNE ROAD, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-01-21 351 NW LEJEUNE ROAD, SUITE 308, MIAMI, FL 33126 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-21 351 NW LEJEUNE ROAD, SUITE 308, MIAMI, FL 33126 No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-11 351 NW LEJEUNE ROAD, SUITE 308, MIAMI, FL 33126 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-02-15
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-10

Related by officers

MEZERHANE EDWARD

EDWARD MEZERHANE, M.D. P.A. ALEDRA HEALTHCARE LLC SOMNOLOGY INVESTMENTS LLC REFER A DOC, LLC MD MEDICAL ENTERPRISES LLC SOMNOLOGY INVESTMENTS 2 LLC MONITAIR LLC MEZANDRA LLC MEZERHANE FAMILY HOLDINGS, LLC MEZERHANE FAMILY, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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