Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Miami-Dade
    4. ›
  4. 33180
    5. ›
  5. INFECTIOUS DISEASE SPECIALISTS, P.A.

INFECTIOUS DISEASE SPECIALISTS, P.A.

Company Details

Entity Name: INFECTIOUS DISEASE SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Aug 1998 (27 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P98000069143
FEI/EIN Number 593526411
Address: 21230 NE 23rd Court, MIAMI, FL, 33180, US
Mail Address: 21230 NE 23rd Court, MIAMI, FL, 33180, US
ZIP code: 33180
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265458822 2006-07-15 2014-04-28 21230 NE 23RD COURT, MIAMI, FL, 33180, US 21230 NE 23RD CT, MIAMI, FL, 331801012, US

Contacts
Phone +1 786-916-6363

Authorized person
Name DR. MOISES FELDMAN
Role PHYSICIAN
Phone 7869166363

Taxonomy
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number ME53502
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 063142600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INFECTIOUS DISEASE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2013 593526411 2014-02-22 INFECTIOUS DISEASE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4074233800
Plan sponsor’s address 1315 SOUTH ORANGE AVE., SUITE 3B, ORLANDO, FL, 32806
INFECTIOUS DISEASE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2013 593526411 2014-11-26 INFECTIOUS DISEASE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3052905438
Plan sponsor’s address 21230 NE 23RD COURT, MIAMI, FL, 33180
INFECTIOUS DISEASE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2012 593526411 2013-06-30 INFECTIOUS DISEASE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4074233800
Plan sponsor’s address 1315 SOUTH ORANGE AVE., SUITE 3B, ORLANDO, FL, 32806

Signature of
Role Plan administrator
Date 2013-06-30
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
INFECTIOUS DISEASE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2011 593526411 2012-05-22 INFECTIOUS DISEASE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4074233800
Plan sponsor’s address 1106 LUCERNE TERRACE, SUITE 1, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593526411
Plan administrator’s name INFECTIOUS DISEASE SPECIALISTS, P.A.
Plan administrator’s address 1106 LUCERNE TERRACE, SUITE 1, ORLANDO, FL, 32806
Administrator’s telephone number 4074233800

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
INFECTIOUS DISEASE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2010 593526411 2011-04-11 INFECTIOUS DISEASE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4074233800
Plan sponsor’s address 1106 LUCERNE TERRACE, SUITE 1, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593526411
Plan administrator’s name INFECTIOUS DISEASE SPECIALISTS, P.A.
Plan administrator’s address 1106 LUCERNE TERRACE, SUITE 1, ORLANDO, FL, 32806
Administrator’s telephone number 4074233800

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing MOISES FELDMAN
Valid signature Filed with authorized/valid electronic signature
INFECTIOUS DISEASE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2009 593526411 2010-06-22 INFECTIOUS DISEASE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4074233800
Plan sponsor’s address 1106 LUCERNE TERRACE, SUITE 1, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 593526411
Plan administrator’s name INFECTIOUS DISEASE SPECIALISTS, P.A.
Plan administrator’s address 1106 LUCERNE TERRACE, SUITE 1, ORLANDO, FL, 32806
Administrator’s telephone number 4074233800

Signature of
Role Plan administrator
Date 2010-06-21
Name of individual signing MOISES FELDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Feldman Ana Agent 21230 NE 23rd Court, MIAMI, FL, 33180

President

Name Role Address
FELDMAN MOISES M President 21230 NE 23rd Court, MIAMI, FL, 33180

Secretary

Name Role Address
FELDMAN MOISES M Secretary 21230 NE 23rd Court, MIAMI, FL, 33180

Treasurer

Name Role Address
FELDMAN MOISES M Treasurer 21230 NE 23rd Court, MIAMI, FL, 33180

Director

Name Role Address
FELDMAN MOISES M Director 21230 NE 23rd Court, MIAMI, FL, 33180

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REGISTERED AGENT NAME CHANGED 2016-03-01 Feldman, Ana No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-01 21230 NE 23rd Court, MIAMI, FL 33180 No data
CHANGE OF PRINCIPAL ADDRESS 2014-03-18 21230 NE 23rd Court, MIAMI, FL 33180 No data
CHANGE OF MAILING ADDRESS 2014-03-18 21230 NE 23rd Court, MIAMI, FL 33180 No data

Documents

Name Date
ANNUAL REPORT 2017-04-23
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-03-18
ANNUAL REPORT 2013-03-16
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-01-10
ANNUAL REPORT 2010-02-17
ANNUAL REPORT 2009-01-07
ANNUAL REPORT 2008-03-24

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 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