Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Citrus
    4. ›
  4. 34465
    5. ›
  5. WEST FLORIDA MEDICAL ASSOCIATES, P.A.

WEST FLORIDA MEDICAL ASSOCIATES, P.A.

Company Details

Entity Name: WEST FLORIDA MEDICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jun 1997 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Nov 1999 (25 years ago)
Document Number: P97000050087
FEI/EIN Number 593411454
Address: 3404 N LECANTO HIGHWAY, SUITE C, BEVERLY HILLS, FL, 34465, US
Mail Address: P.O. BOX 640573, BEVERLY HILLS, FL, 34464, US
ZIP code: 34465
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295307999 2021-07-13 2022-08-02 PO BOX 640573, BEVERLY HILLS, FL, 344640573, US 11707 N WILLIAMS ST STE 2, DUNNELLON, FL, 344325855, US

Contacts
Phone +1 352-489-2486
Phone +1 352-465-1199

Authorized person
Name ULHAS T DEVEN
Role PRESIDENT
Phone 3524651919

Taxonomy
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST FLORIDA MEDICAL ASSOCIATES P.A. CASH BALANCE PENSION PLAN 2019 593411454 2020-10-14 WEST FLORIDA MEDICAL ASSOCIATES P.A. 112
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465
WEST FLORIDA MEDICAL ASSOCIATES P.A. HEALTH AND WELFARE PLAN 2018 593411454 2020-01-19 WEST FLORIDA MEDICAL ASSOCIATES P.A 101
Three-digit plan number (PN) 502
Effective date of plan 2018-12-01
Business code 621111
Sponsor’s telephone number 3527461558
Plan sponsor’s mailing address 3400 N LECANTO HWY STE A, BEVERLY HILLS, FL, 344653548
Plan sponsor’s address 3400 N LECANTO HWY STE A, BEVERLY HILLS, FL, 344653548

Number of participants as of the end of the plan year
Active participants 98

Signature of
Role Plan administrator
Date 2020-01-19
Name of individual signing HENRIETTE LOSSING
Valid signature Filed with authorized/valid electronic signature
WEST FLORIDA MEDICAL ASSOCIATES P.A. CASH BALANCE PENSION PLAN 2018 593411454 2019-10-12 WEST FLORIDA MEDICAL ASSOCIATES P.A. 104
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465
WEST FLORIDA MEDICAL ASSOCIATES P.A. 2017 593411454 2019-03-16 WEST FLORIDA MEDICAL ASSOCIATES P.A. 102
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2017-12-01
Business code 621111
Sponsor’s telephone number 3527461558
Plan sponsor’s DBA name WEST FLORIDA MEDICAL ASSOCIATES P.A.
Plan sponsor’s mailing address 3400 N LECANTO HWY STE A, BEVERLY HILLS, FL, 344653548
Plan sponsor’s address 3400 N LECANTO HWY STE A, BEVERLY HILLS, FL, 344653548

Plan administrator’s name and address
Administrator’s EIN 593411454
Plan administrator’s name WEST FLORIDA MEDICAL ASSOCIATES P.A.
Plan administrator’s address 3400 N LECANTO HWY STE A, BEVERLY HILLS, FL, 344653548
Administrator’s telephone number 3527461558

Number of participants as of the end of the plan year
Active participants 89
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2019-03-16
Name of individual signing HENRIETTE LOSSING
Valid signature Filed with authorized/valid electronic signature
WEST FLORIDA MEDICAL ASSOCIATES P.A. CASH BALANCE PENSION PLAN 2017 593411454 2018-10-02 WEST FLORIDA MEDICAL ASSOCIATES P.A. 81
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465
WEST FLORIDA MEDICAL ASSOCIATES P.A. CASH BALANCE PENSION PLAN 2016 593411454 2017-10-13 WEST FLORIDA MEDICAL ASSOCIATES P.A. 56
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465
WEST FLORIDA MEDICAL ASSOCIATES P.A. CASH BALANCE PENSION PLAN 2015 593411454 2016-08-30 WEST FLORIDA MEDICAL ASSOCIATES P.A. 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465
WEST FLORIDA MEDICAL ASSOCIATES P.A. 401K PS PLAN & TRUST 2014 593411454 2015-08-28 WEST FLORIDA MEDICAL ASSOCIATES P.A . 110
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465

Signature of
Role Plan administrator
Date 2015-08-28
Name of individual signing VENUGOPALA REDDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-28
Name of individual signing VENUGOPALA REDDY
Valid signature Filed with authorized/valid electronic signature
WEST FLORIDA MEDICAL ASSOCIATES P.A. 401K PS PLAN & TRUST 2012 593411454 2013-07-30 WEST FLORIDA MEDICAL ASSOCIATES P.A. 116
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing VENUGOPALA REDDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing VENUGOPALA REDDY
Valid signature Filed with authorized/valid electronic signature
WEST FLORIDA MEDICAL ASSOCIATES P. A. 401K PS PLAN & TRUST 2011 593411454 2012-10-10 WEST FLORIDA MEDICAL ASSOCIATES P.A . 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3525270514
Plan sponsor’s address P O BOX 640573, BEVERLY HILLS, FL, 34465

Plan administrator’s name and address
Administrator’s EIN 593411454
Plan administrator’s name WEST FLORIDA MEDICAL ASSOCIATES P.A .
Plan administrator’s address P O BOX 640573, BEVERLY HILLS, FL, 34465
Administrator’s telephone number 3525270514

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing VENUGOPALA REDDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing VENUGOPALA REDDY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HIREMATH UDAY M.D. Agent 3404 N LECANTO HIGHWAY, BEVERLY HILLS, FL, 34465

Secretary

Name Role Address
BELLAM RAJENDRA PMD Secretary 20021 SW 111TH PLACE, DUNNELLON, FL, 34432

Director

Name Role Address
ALUGUBELLI VENKAT RMD Director 3737 N. LECANTO HWY, BEVERLY HILLS, FL, 34465
KHAN HASIBUL MD Director 213 S. PINE AVE, INVERNESS, FL, 34452
PATEL SHIRISH MD Director 2669 N FLORIDA AVENUE, HERNANDO, FL, 34442

Vice President

Name Role Address
DEVEN ULHAS TMD Vice President 11707 N. WILLIAMS ST, DUNNELLON, FL, 34432

Treasurer

Name Role Address
PATEL BHADRESH PMD Treasurer 3775 N. LECANTO HWY, BEVERLY HILLS, FL, 34465

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000122190 HERNANDO MEDICAL CENTER ACTIVE 2024-09-19 2029-12-31 No data 3404 N LECANTO HWY SUITE C, BEVERLY HILLS, FL, 34465
G18000094466 HERNANDO MEDICAL CENTER EXPIRED 2018-08-20 2023-12-31 No data 2669 N FLORIDA AVE, HERNANDO, FL, 34442
G17000140369 WEST FLORIDA PEDIATRICS ACTIVE 2017-12-01 2027-12-31 No data 3404 N LECANTO HWY, SUITE C, BEVERLY HILLS, FL, 34465
G14000089403 ADVANCED PRIMARY CARE CENTER EXPIRED 2014-09-02 2019-12-31 No data PO BOX 3120, DUNNELLON, FL, 34430
G13000003246 BELLAM MEDICAL CLINIC ACTIVE 2013-01-09 2028-12-31 No data 1429 N ANNAPOLIS AVENUE, HERNANDO, FL, 34442
G12000030088 DEVEN MEDICAL CENTER EXPIRED 2012-03-28 2017-12-31 No data PO BOX 3120, DUNNELLON, FL, 34432
G10000020448 SUNCOAST PRIMARY CARE SPECIALISTS EXPIRED 2010-03-01 2015-12-31 No data P.O. BOX 640573, BEVERLY HILLS, FL, 34464
G09061900116 CHARLES S. LI M.D. EXPIRED 2009-03-02 2014-12-31 No data POST OFFICE BOX 640573, BEVERLY HILLS, FL, 34464
G08350700013 CITRUS SPRINGS RURAL HEALTH CLINIC EXPIRED 2008-12-15 2013-12-31 No data PO BOX 640573, BEVERLY HILLS, FL, 34464
G08322700012 NATURE COAST FAMILY MEDICAL EXPIRED 2008-11-17 2013-12-31 No data PO BOX 640573, BEVERLY HILLS, FL, 34464

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-06 3404 N LECANTO HIGHWAY, SUITE C, BEVERLY HILLS, FL 34465 No data
REGISTERED AGENT NAME CHANGED 2020-09-03 HIREMATH, UDAY, M.D. No data
REGISTERED AGENT ADDRESS CHANGED 2020-09-03 3404 N LECANTO HIGHWAY, SUITE C, BEVERLY HILLS, FL 34465 No data
CHANGE OF MAILING ADDRESS 2001-03-15 3404 N LECANTO HIGHWAY, SUITE C, BEVERLY HILLS, FL 34465 No data
REINSTATEMENT 1999-11-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-03-15
Reg. Agent Change 2020-09-03
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-03-16

Related by officers

DEVEN ULHAS TMD

DEVEN MEDICAL ENTERPRISES, PLLC

Related by address

3404 N LECANTO HIGHWAY, SUITE C, BEVERLY HILLS, FL, 34465, US

WEST FLORIDA MEDICAL HOLDING, L.L.C.

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