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  5. FLORIDA INFECTIOUS DISEASE GROUP, P.A.

FLORIDA INFECTIOUS DISEASE GROUP, P.A.

Company Details

Entity Name: FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Aug 1994 (30 years ago)
Document Number: P94000062732
FEI/EIN Number 593269184
Address: 1012 LUCERNE TERRACE, ORLANDO, FL, 32806, US
Mail Address: 1012 LUCERNE TERRACE, ORLANDO, FL, 32806, US
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA INFECTIOUS DISEASE GROUP, P.A. 401(K) PROFIT SHARING PLAN 2011 593269184 2012-05-21 FLORIDA INFECTIOUS DISEASE GROUP, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4074231039
Plan sponsor’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593269184
Plan administrator’s name FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Plan administrator’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806
Administrator’s telephone number 4074231039

Signature of
Role Plan administrator
Date 2012-05-21
Name of individual signing CARMELO M. LICITRA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-21
Name of individual signing CARMELO M. LICITRA, M.D.
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFECTIOUS DISEASE GROUP, P.A. 401(K) PROFIT SHARING PLAN 2010 593269184 2011-07-05 FLORIDA INFECTIOUS DISEASE GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4074231039
Plan sponsor’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593269184
Plan administrator’s name FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Plan administrator’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806
Administrator’s telephone number 4074231039

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing CARMELO M. LICITRA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing CARMELO M. LICITRA, M.D.
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFECTIOUS DISEASE GROUP, P.A. 401(K) PROFIT SHARING PLAN 2010 593269184 2011-07-05 FLORIDA INFECTIOUS DISEASE GROUP, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4074231039
Plan sponsor’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593269184
Plan administrator’s name FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Plan administrator’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806
Administrator’s telephone number 4074231039

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing CARMELO M. LICITRA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing CARMELO M. LICITRA, M.D.
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFECTIOUS DISEASE GROUP, P.A. 401(K) PROFIT SHARING PLAN 2010 593269184 2011-06-14 FLORIDA INFECTIOUS DISEASE GROUP, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4074231039
Plan sponsor’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593269184
Plan administrator’s name FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Plan administrator’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806
Administrator’s telephone number 4074231039

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing CARMELO LICITRA
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-06-13
Name of individual signing CARMELO LICITRA
Valid signature Filed with incorrect/unrecognized electronic signature
FLORIDA INFECTIOUS DISEASE GROUP, P.A. 401(K) PROFIT SHARING PLAN 2010 593269184 2011-06-10 FLORIDA INFECTIOUS DISEASE GROUP, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4074231039
Plan sponsor’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593269184
Plan administrator’s name FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Plan administrator’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806
Administrator’s telephone number 4074231039

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing CARMELO LICITRA
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-06-10
Name of individual signing CARMELO LICITRA
Valid signature Filed with incorrect/unrecognized electronic signature
FLORIDA INFECTIOUS DISEASE GROUP, P.A. 401(K) PROFIT SHARING PLAN 2009 593269184 2010-09-07 FLORIDA INFECTIOUS DISEASE GROUP, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4074231039
Plan sponsor’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593269184
Plan administrator’s name FLORIDA INFECTIOUS DISEASE GROUP, P.A.
Plan administrator’s address 1012 LUCERNE TERRACE, ORLANDO, FL, 32806
Administrator’s telephone number 4074231039

Signature of
Role Plan administrator
Date 2010-09-07
Name of individual signing CARMELO M. LICITRA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-07
Name of individual signing CARMELO M. LICITRA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LICITRA CARMELO M Agent 3012 LUCERNE TERRACE, ORLANDO, FL, 32801

President

Name Role Address
LICITRA CAMELO M President 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Vice President

Name Role Address
RODRIGUEZ MARIA DEL MAR Vice President 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Secretary

Name Role Address
CRESPO ANTONIO Secretary 1012 LUCERNE TERR, ORLANDO, FL, 32806

Treasurer

Name Role Address
ROJAS-DIAZ ROBERTO Treasurer 1012 LUCERNE TERRACE, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
NAME CHANGE AMENDMENT 1996-12-10 FLORIDA INFECTIOUS DISEASE GROUP, P.A. No data
AMENDED AND RESTATEDARTICLES/NAME CHANGE 1995-12-18 LICITRA AND BROOKS, P.A. No data

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Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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