Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Alachua
    4. ›
  4. 32607
    5. ›
  5. ACCENT PHYSICIAN SPECIALISTS, P.A.

ACCENT PHYSICIAN SPECIALISTS, P.A.

Company Details

Entity Name: ACCENT PHYSICIAN SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 Dec 1995 (29 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Oct 2013 (11 years ago)
Document Number: P95000098020
FEI/EIN Number 59-3344396
Address: 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607
Mail Address: 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376970731 2013-10-01 2022-12-29 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL, 326072557, US 2086 SW MAIN BLVD STE 103, LAKE CITY, FL, 320250006, US

Contacts
Phone +1 352-372-9414
Fax 3522715393

Authorized person
Name AMBER DOCKENEY
Role CREDENTIALING SUPERVISOR
Phone 3523729414

Taxonomy
Taxonomy Code 207YX0905X - Otolaryngology/Facial Plastic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ACCENT PHYSICIAN SPECIALISTS, P.A. 2023 593344396 2024-04-24 ACCENT PHYSICIAN SPECIALISTS, P.A. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2024-04-24
Name of individual signing JOHN EASTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-24
Name of individual signing JOHN EASTMAN
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2022 593344396 2023-06-15 ACCENT PHYSICIAN SPECIALISTS, P.A. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing JOHN EASTMAN
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2021 593344396 2022-04-29 ACCENT PHYSICIAN SPECIALISTS, P.A. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2022-04-29
Name of individual signing JOHN EASTMAN
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2020 593344396 2021-06-11 ACCENT PHYSICIAN SPECIALISTS, P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing JOHN EASTMAN
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2019 593344396 2020-05-27 ACCENT PHYSICIAN SPECIALISTS, P.A. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing JOHN EASTMAN
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2018 593344396 2019-05-15 ACCENT PHYSICIAN SPECIALISTS, P.A. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing WALTER G. ATYEO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-15
Name of individual signing BRIAN G. KERR
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2017 593344396 2018-05-14 ACCENT PHYSICIAN SPECIALISTS, P.A. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing WALTER ATYEO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing BRIAN KERR
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2016 593344396 2017-05-02 ACCENT PHYSICIAN SPECIALISTS, P.A. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing WALTER G. ATYEO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-02
Name of individual signing BRIAN G. KERR
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2015 593344396 2016-05-11 ACCENT PHYSICIAN SPECIALISTS, P.A. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2016-05-11
Name of individual signing WALTER G. ATYEO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-11
Name of individual signing BRIAN G. KERR
Valid signature Filed with authorized/valid electronic signature
ACCENT PHYSICIAN SPECIALISTS, P.A. 2014 593344396 2015-06-04 ACCENT PHYSICIAN SPECIALISTS, P.A. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3522715370
Plan sponsor’s address 4340 NEWBERRY ROAD, SUITE 301, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing WALTER G. ATYEO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-04
Name of individual signing BRIAN G. KERR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EASTMAN, JOHN P Agent 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607

Treasurer

Name Role Address
KERR, BRIAN, Dr. Treasurer 4340 NEWBERRY RD. STE 301, GAINESVILLE, FL 32607

Vice President

Name Role Address
HALL, DANIEL J, Dr. Vice President 4340 NEWBERRY RD., SUITE 301 GAINESVILLE, FL 32607
Digman, Colleen, Dr. Vice President 4340 NEWBERRY RD., SUITE 301 GAINESVILLE, FL 32607
PHILLIPS, JEFFREY M, Dr. Vice President 4340 W. Newberry Road, Suite 301 Gainesville, FL 32607

President

Name Role Address
WERBEL, SANDRA, Dr. President 4340 NEWBERRY RD., SUITE 301 GAINESVILLE, FL 32607

Secretary

Name Role Address
JEELANI, SADAF, Dr. Secretary 4340 NEWBERRY RD., SUITE 301 GAINESVILLE, FL 32607

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-03-09 EASTMAN, JOHN P No data
REINSTATEMENT 2013-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2005-03-18 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607 No data
CHANGE OF PRINCIPAL ADDRESS 2005-03-18 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607 No data
CHANGE OF MAILING ADDRESS 2004-04-02 4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607 No data
NAME CHANGE AMENDMENT 2002-07-25 ACCENT PHYSICIAN SPECIALISTS, P.A. No data
NAME CHANGE AMENDMENT 1998-04-07 FLORIDA E.N.T. ASSOCIATES, P.A. No data
CORPORATE MERGER 1996-11-01 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 300000011433
CORPORATE MERGER 1996-01-22 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 4. CORPORATE MERGER NUMBER 100000009171

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-02-24

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated