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  5. ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC.

ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC.

Company Details

Entity Name: ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Feb 1997 (28 years ago)
Document Number: P97000013519
FEI/EIN Number 593429081
Address: 5340 Kings Court, Fruitland Park, FL, 34731, US
Mail Address: 5340 Kings Court, Fruitland Park, FL, 34731, US
ZIP code: 34731
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992718290 2006-08-15 2015-04-01 PO BOX 1804, LADY LAKE, FL, 321581804, US 309 LAGRANDE BLVD, LADY LAKE, FL, 321592386, US

Contacts
Phone +1 352-750-1999
Fax 3527501998

Authorized person
Name MRS. JUDY ANN NAUMANN
Role OFFICE MANAGER
Phone 3527501999

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer BC/BS
Number Y8614
State FL
Issuer BS/BC GROUP #
Number 00243
State FL
Issuer RAILROAD MEDICARE
Number P00141885
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER CASH BALANCE 2022 593429081 2023-11-06 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER 401(K) PROFIT SHARING PLAN 2022 593429081 2023-06-05 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LAGRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER 401(K) PROFIT SHARING PLAN 2022 593429081 2023-10-09 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER CASH BALANCE 2022 593429081 2023-08-14 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER 401(K) PROFIT SHARING PLAN 2021 593429081 2022-07-13 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LAGRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER CASH BALANCE 2021 593429081 2022-07-13 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER CASH BALANCE 2020 593429081 2021-09-30 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER 401(K) PROFIT SHARING PLAN 2020 593429081 2021-09-30 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER CASH BALANCE 2019 593429081 2020-09-10 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159
ALLERGY, SINUS & ASTHMA FAMILY HEALTH CENTER 401(K) PROFIT SHARING PLAN 2019 593429081 2020-06-01 ALLERGY, SINUS & ASTHMA CENTER OF LEESBURG, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 3527501999
Plan sponsor’s address 309 LA GRANDE BLVD., LADY LAKE, FL, 32159

Agent

Name Role Address
Neuzil Neuzil EJr. Agent 5340 Kings Court, Fruitland Park, FL, 34731

Manager

Name Role Address
NEUZIL FRANCIS E Manager PO BOX 1804, LADY LAKE, FL, 32158

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-28 5340 Kings Court, Fruitland Park, FL 34731 No data
CHANGE OF MAILING ADDRESS 2024-02-28 5340 Kings Court, Fruitland Park, FL 34731 No data
REGISTERED AGENT NAME CHANGED 2024-02-28 Neuzil, Neuzil Edward , Jr. No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-28 5340 Kings Court, Fruitland Park, FL 34731 No data

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-04-28

Related by officers

No related officers

Related by address

5340 Kings Court, Fruitland Park, FL, 34731, US

LOR-ED ENTERPRISES, LLC E.T. ENTERPRISES OF LADY LAKE, LLC

5340 Kings Court, Fruitland Park, FL, 34731, US

LOR-ED ENTERPRISES, LLC E.T. ENTERPRISES OF LADY LAKE, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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