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  5. PASCO PULMONARY MEDICAL CENTER, INC.

PASCO PULMONARY MEDICAL CENTER, INC.

Company Details

Entity Name: PASCO PULMONARY MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 May 1995 (30 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P95000040199
FEI/EIN Number 593314587
Address: 2797 St Andrews Blvd, Tarpon Springs, FL, 34688, US
Mail Address: 2797 St Andrews Blvd, Tarpon Springs, FL, 34688, US
ZIP code: 34688
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043341886 2007-03-07 2014-04-25 5522 TROUBLE CREEK RD, SUITE 102, NEW PORT RICHEY, FL, 346525171, US 5522 TROUBLE CREEK RD, SUITE 102, NEW PORT RICHEY, FL, 346525171, US

Contacts
Phone +1 727-847-2847
Fax 7278479102

Authorized person
Name NARESH C JAIN
Role ADMINISTRATOR
Phone 7278472847

Taxonomy
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number ME51235
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 038511500
State FL
Issuer LICENSE
Number ME51235
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PASCO PULMONARY MEDICAL CENTER, INC. PROFIT SHARING PLAN AND TRUST 2018 593314587 2019-05-23 PASCO PULMONARY MEDICAL CENTER, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 7274346201
Plan sponsor’s address 2797 ST. ANDREWS BLVD., TARPON SPRINGS, FL, 34688
PASCO PULMONARY MEDICAL CENTER, INC. CASH BALANCE PLAN AND TRUST 2018 593314587 2019-05-23 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7274346201
Plan sponsor’s address 2797 ST. ANDREWS BLVD., TARPON SPRINGS, FL, 34688
PASCO PULMONARY MEDICAL CENTER, INC. PROFIT SHARING PLAN AND TRUST 2017 593314587 2018-04-25 PASCO PULMONARY MEDICAL CENTER, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, SUITE 102, NEW PORT RICHEY, FL, 34652
PASCO PULMONARY MEDICAL CENTER, INC. CASH BALANCE PLAN AND TRUST 2017 593314587 2018-04-25 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, #102, NEW PORT RICHEY, FL, 34652
PASCO PULMONARY MEDICAL CENTER, INC. CASH BALANCE PLAN AND TRUST 2016 593314587 2017-06-21 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, #102, NEW PORT RICHEY, FL, 34652

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing NARESH C. JAIN
Valid signature Filed with authorized/valid electronic signature
PASCO PULMONARY MEDICAL CENTER, INC. PROFIT SHARING PLAN AND TRUST 2016 593314587 2017-06-21 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, SUITE 102, NEW PORT RICHEY, FL, 34652

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing NARESH C. JAIN
Valid signature Filed with authorized/valid electronic signature
PASCO PULMONARY MEDICAL CENTER, INC. PROFIT SHARING PLAN AND TRUST 2015 593314587 2016-07-14 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, SUITE 102, NEW PORT RICHEY, FL, 34652

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing NARESH C. JAIN
Valid signature Filed with authorized/valid electronic signature
PASCO PULMONARY MEDICAL CENTER, INC. CASH BALANCE PLAN AND TRUST 2015 593314587 2016-07-14 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, #102, NEW PORT RICHEY, FL, 34652

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing NARESH C. JAIN
Valid signature Filed with authorized/valid electronic signature
PASCO PULMONARY MEDICAL CENTER, INC. CASH BALANCE PLAN AND TRUST 2014 593314587 2015-07-16 PASCO PULMONARY MEDICAL CENTER, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, #102, NEW PORT RICHEY, FL, 34652

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing NARESH C. JAIN
Valid signature Filed with authorized/valid electronic signature
PASCO PULMONARY MEDICAL CENTER, INC. PROFIT SHARING PLAN AND TRUST 2014 593314587 2015-07-16 PASCO PULMONARY MEDICAL CENTER, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 7278472847
Plan sponsor’s address 5522 TROUBLE CREEK ROAD, SUITE 102, NEW PORT RICHEY, FL, 34652

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing NARESH C. JAIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAIN BINA Agent 2797 St Andrews Blvd, Tarpon Springs, FL, 34688

Vice President

Name Role Address
JAIN NARESH C Vice President 2797 St Andrews Blvd, Tarpon Springs, FL, 34688

President

Name Role Address
Jain Bina President 2797 St Andrews Blvd, Tarpon Springs, FL, 34688

Secretary

Name Role Address
JAIN NARESH Secretary 2797 St Andrews Blvd, Tarpon Springs, FL, 34688

Director

Name Role Address
JAIN BINA Director 2797 St Andrews Blvd, Tarpon Springs, FL, 34688
JAIN NARESH C Director 2797 St Andrews Blvd, Tarpon Springs, FL, 34688

Treasurer

Name Role Address
JAIN NARESH C Treasurer 2797 St Andrews Blvd, Tarpon Springs, FL, 34688

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-07 2797 St Andrews Blvd, Tarpon Springs, FL 34688 No data
CHANGE OF MAILING ADDRESS 2019-02-07 2797 St Andrews Blvd, Tarpon Springs, FL 34688 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-07 2797 St Andrews Blvd, Tarpon Springs, FL 34688 No data
REGISTERED AGENT NAME CHANGED 1995-06-16 JAIN, BINA No data

Documents

Name Date
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-02-05
ANNUAL REPORT 2014-01-05
ANNUAL REPORT 2013-03-08
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-01-28

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JAIN NARESH

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JAIN BINA

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Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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