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THOMAS INTERNAL MEDICINE, P.A.

Company Details

Entity Name: THOMAS INTERNAL MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Dec 2013 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Nov 2022 (2 years ago)
Document Number: P13000101358
FEI/EIN Number 46-3691058
Address: 15035 NE HIGHWAY 315, FORT MCCOY, FL, 32134, US
Mail Address: P. O. Box 479, FORT MCCOY, FL, 32134, US
ZIP code: 32134
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164845038 2014-01-29 2014-12-11 11512 E HIGHWAY 316, FORT MC COY, FL, 321348134, US 15035 NE HWY 315, FORT MC COY, FL, 32134, US

Contacts

Phone +1 352-236-2525
Fax 3522368610

Authorized person

Name DR. GREYSON THOMAS
Role MEDICAL DIRECTOR
Phone 3522362525

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2022 463691058 2023-04-10 THOMAS INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2021 463691058 2022-10-31 THOMAS INTERNAL MEDICINE, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2020 463691058 2021-10-14 THOMAS INTERNAL MEDICINE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2019 463691058 2020-09-29 THOMAS INTERNAL MEDICINE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2018 463691058 2019-06-07 THOMAS INTERNAL MEDICINE, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134

Signature of

Role Plan administrator
Date 2019-06-07
Name of individual signing CARL G. THOMAS
Valid signature Filed with authorized/valid electronic signature
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2017 463691058 2018-07-05 THOMAS INTERNAL MEDICINE, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134

Signature of

Role Plan administrator
Date 2018-07-05
Name of individual signing CARL G. THOMAS
Valid signature Filed with authorized/valid electronic signature
THOMAS INTERNAL MEDICINE, P.A. 401(K) PLAN 2016 463691058 2017-06-16 THOMAS INTERNAL MEDICINE, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 3522362525
Plan sponsor’s address 15035 N.E. HIGHWAY 315, FORT MCCOY, FL, 32134

Signature of

Role Plan administrator
Date 2017-06-16
Name of individual signing CARL G. THOMAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THOMAS GREYSON CM.D. Agent 15035 NE Highway 315, FT. MCCOY, FL, 32134

Director

Name Role Address
THOMAS GREYSON C Director 15035 NE Highway 315, FORT MCCOY, FL, 32134

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-11-07 THOMAS, GREYSON C, M.D. No data
REINSTATEMENT 2022-11-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-03-12 15035 NE HIGHWAY 315, FORT MCCOY, FL 32134 No data
CHANGE OF MAILING ADDRESS 2015-03-12 15035 NE HIGHWAY 315, FORT MCCOY, FL 32134 No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-12 15035 NE Highway 315, P. O. Box 479, FT. MCCOY, FL 32134 No data
AMENDMENT AND NAME CHANGE 2013-12-31 THOMAS INTERNAL MEDICINE, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-02-08
REINSTATEMENT 2022-11-07
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-09
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-03-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State