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  5. SEPA HEALTHCARE MANAGEMENT, INC.

SEPA HEALTHCARE MANAGEMENT, INC.

Company Details

Entity Name: SEPA HEALTHCARE MANAGEMENT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Nov 1995 (29 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 27 Mar 2017 (8 years ago)
Document Number: P95000086569
FEI/EIN Number 650610187
Mail Address: 2103 Coral Way, 2nd Floor, Coral Gables, FL, 33145, US
Address: 10621 NORTH KENDALL DRIVE, MIAMI, FL, 33176, US
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164135398 2023-01-03 2023-01-03 10621 N KENDALL DR STE 211, MIAMI, FL, 331761530, US 10621 N KENDALL DR STE 211, MIAMI, FL, 331761530, US

Contacts
Phone +1 305-596-4288
Fax 3055966378

Authorized person
Name MR. RENE F GOMEZ
Role PRESIDENT
Phone 3055964288

Taxonomy
Taxonomy Code 302F00000X - Exclusive Provider Organization
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEPA HEALTHCARE MANAGEMENT INC 401(K) PROFIT SHARING PLAN & TRUST 2022 650610187 2023-06-21 SEPA HEALTHCARE MANAGEMENT INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-03-15
Business code 541990
Sponsor’s telephone number 3055964288
Plan sponsor’s address 10621 N KENDALL DRIVE - SUITE 211, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
SEPA HEALTHCARE MANAGEMENT INC 401(K) PROFIT SHARING PLAN & TRUST 2021 650610187 2022-06-27 SEPA HEALTHCARE MANAGEMENT INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-03-15
Business code 541990
Sponsor’s telephone number 3055964288
Plan sponsor’s address 10621 N KENDALL DRIVE - SUITE 211, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
SEPA HEALTHCARE MANAGEMENT INC 401(K) PROFIT SHARING PLAN & TRUST 2020 650610187 2021-04-13 SEPA HEALTHCARE MANAGEMENT INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-03-15
Business code 541990
Sponsor’s telephone number 3055964288
Plan sponsor’s address 10621 N KENDALL DRIVE - SUITE 211, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
SEPA HEALTHCARE MANAGEMENT INC 401(K) PROFIT SHARING PLAN & TRUST 2019 650610187 2020-10-05 SEPA HEALTHCARE MANAGEMENT INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-03-15
Business code 541990
Sponsor’s telephone number 3055964288
Plan sponsor’s address 10621 N KENDALL DRIVE - SUITE 211, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
SEPA HEALTHCARE MANAGEMENT 401(K) PLAN 2018 650610187 2019-07-23 SEPA HEALTHCARE MANAGEMENT, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 3055964288
Plan sponsor’s address 10621 NORTH KENDALL DRIVE, SUITE 211, MIAMI, FL, 33176
SEPA HEALTHCARE MANAGEMENT 401(K) PLAN 2017 650610187 2018-10-16 SEPA HEALTHCARE MANAGEMENT, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 3055964288
Plan sponsor’s address 10621 NORTH KENDALL DRIVE, SUITE 211, MIAMI, FL, 33176

Agent

Name Role
AXEN HEALTH, INC. Agent

Chief Executive Officer

Name Role Address
De Jesus Ivan D Chief Executive Officer 2103 Coral Way, Coral Gables, FL, 33145

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-30 AXEN Health, Inc No data
CHANGE OF MAILING ADDRESS 2023-04-30 10621 NORTH KENDALL DRIVE, SUITE 211, MIAMI, FL 33176 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-30 2103 Coral Way, 2nd Floor, Coral Gables, FL 33145 No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-01 10621 NORTH KENDALL DRIVE, SUITE 211, MIAMI, FL 33176 No data
AMENDMENT 2017-03-27 No data No data
AMENDMENT AND NAME CHANGE 2017-01-09 SEPA HEALTHCARE MANAGEMENT, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
AMENDED ANNUAL REPORT 2023-08-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-01-15
Amendment 2017-03-27
ANNUAL REPORT 2017-01-09

Related by officers

De Jesus Ivan D

SOUTHEAST PHYSICIAN ASSOCIATES, LLC GAMI INTERNATIONAL LLC BOUGAINVILLEA GARDENS CAFE LLC DASH FOUNDATION, INC. SEPA 2, LLC SUNCOAST MEDICAL NETWORK, INC. SEPA CENTRAL FLORIDA, INC. AXEN HEALTH, INC.

Related by address

2103 Coral Way, 2nd Floor, Coral Gables, FL, 33145, US

SOUTHEAST PHYSICIAN ASSOCIATES, LLC MIAMI DSA, INC. SEPA 2, LLC SUNCOAST MEDICAL NETWORK, INC.

10621 NORTH KENDALL DRIVE, MIAMI, FL, 33176, US

SEPA HEALTHCARE CONSULTING, INC. SEPA 1, LLC SOUTHEAST PHYSICIAN ASSOCIATES, LLC MCG AESTHETIC MEDICINE,LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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