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  5. ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A.

ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A.

Company Details

Entity Name: ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Apr 1998 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 28 Dec 2010 (14 years ago)
Document Number: P98000033176
FEI/EIN Number 593504094
Address: 110 ALAFAYA WOODS BLVD., OVIEDO, FL, 32765
Mail Address: 110 ALAFAYA WOODS BLVD., OVIEDO, FL, 32765
ZIP code: 32765
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972644631 2007-02-08 2010-01-05 110 ALAFAYA WOODS BLVD, OVIEDO, FL, 327656241, US 110 ALAFAYA WOODS BLVD, OVIEDO, FL, 327656241, US

Contacts
Phone +1 407-366-3577
Fax 4073662646

Authorized person
Name DR. JEFFRY F ROCKER
Role FAMILY PHYSICIAN
Phone 4073663577

Taxonomy
Taxonomy Code 170100000X - Ph.D. Medical Genetics
License Number 0S0005703
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE RAILROAD
Number CK9014
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALAFAYA WOODS FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2013 593504094 2014-03-07 ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073666996
Plan sponsor’s address 110 ALAFAYA WOODS BOULEVARD, SUITE A, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2014-03-07
Name of individual signing JEFFRY ROCKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-07
Name of individual signing JEFFRY ROCKER
Valid signature Filed with authorized/valid electronic signature
ALAFAYA WOODS FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2012 593504094 2014-03-07 ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073666996
Plan sponsor’s address 110 ALAFAYA WOODS BOULEVARD, SUITE A, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2014-03-07
Name of individual signing JEFFRY ROCKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-07
Name of individual signing JEFFRY ROCKER
Valid signature Filed with authorized/valid electronic signature
ALAFAYA WOODS FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN & TRUST 2011 593504094 2014-03-07 ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073666996
Plan sponsor’s address 110 ALAFAYA WOODS BOULEVARD, SUITE A, OVIEDO, FL, 32765

Plan administrator’s name and address
Administrator’s EIN 593504094
Plan administrator’s name ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A.
Plan administrator’s address 110 ALAFAYA WOODS BOULEVARD, SUITE A, OVIEDO, FL, 32765
Administrator’s telephone number 4073666996

Signature of
Role Plan administrator
Date 2014-03-07
Name of individual signing JEFFRY ROCKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-07
Name of individual signing JEFFRY ROCKER
Valid signature Filed with authorized/valid electronic signature
ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A. PROFIT SHARING PLAN 2009 593504094 2010-09-30 ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073663577
Plan sponsor’s address 110 ALAFAYA WOODS BOULEVARD, # A, OVIEDO, FL, 32765

Plan administrator’s name and address
Administrator’s EIN 593504094
Plan administrator’s name ALAFAYA WOODS FAMILY MEDICAL CENTER, P.A
Plan administrator’s address 110 ALAFAYA WOODS BOULEVARD, # A, OVIEDO, FL, 32765
Administrator’s telephone number 4073663577

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing JULIE BURGESS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROCKER JEFFRY Agent 110 ALAFAYA WOODS BLVD, OVIEDO, FL, 32765

President

Name Role Address
ROCKER JEFFRY F President 110 ALAFAYA WOODS BLVD., OVIEDO, FL, 32765

Secretary

Name Role Address
ROCKER JEFFRY F Secretary 110 ALAFAYA WOODS BLVD., OVIEDO, FL, 32765

Treasurer

Name Role Address
ROCKER JEFFRY F Treasurer 110 ALAFAYA WOODS BLVD., OVIEDO, FL, 32765

Director

Name Role Address
ROCKER JEFFRY F Director 110 ALAFAYA WOODS BLVD., OVIEDO, FL, 32765

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-27 ROCKER, ANDREW No data
AMENDMENT 2010-12-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2004-06-30 110 ALAFAYA WOODS BLVD, OVIEDO, FL 32765 No data
REINSTATEMENT 2002-06-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-02-22
ANNUAL REPORT 2017-01-11

Related by officers

ROCKER JEFFRY F

THE STERLING HONDO, LLC WWS HOLDINGS, LLC JFR MEDICAL LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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