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  5. TAGRID ADILI, M.D., P.A.

TAGRID ADILI, M.D., P.A.

Company Details

Entity Name: TAGRID ADILI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Sep 1998 (26 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 31 Oct 2003 (21 years ago)
Document Number: P98000077917
FEI/EIN Number 650865158
Address: 463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL, 34983
Mail Address: 463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL, 34983
ZIP code: 34983
County: St. Lucie
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2023 650865158 2024-06-09 TAGRID ADILI, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2022 650865158 2023-10-10 TAGRID ADILI, M. D., P. A. 4
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2022 650865158 2024-06-09 TAGRID ADILI, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2021 650865158 2022-09-29 TAGRID ADILI, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2020 650865158 2021-02-23 TAGRID ADILI, M. D., P. A. 4
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2020 650865158 2021-02-23 TAGRID ADILI, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2019 650865158 2020-10-06 TAGRID ADILI, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2018 650865158 2019-10-03 TAGRID ADILI, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2017 650865158 2018-09-18 TAGRID ADILI, M. D., P. A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166
TAGRID ADILI, M. D., P. A. 401K PROFIT SHARING PLAN AND TRUST 2016 650865158 2017-04-17 TAGRID ADILI, M. D., P. A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 7728077166
Plan sponsor’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731

Plan administrator’s name and address
Administrator’s EIN 650865158
Plan administrator’s name TAGRID ADILI, M. D., P. A.
Plan administrator’s address 463 NW PRIMA VISTA BLVD STE 203, PORT ST LUCIE, FL, 349838731
Administrator’s telephone number 7728077166

Agent

Name Role Address
ADILI TAGRID M Agent 463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL, 34983

Director

Name Role Address
ADILI TAGRID M Director 463 PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL, 34983

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-01-11 463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL 34983 No data
CHANGE OF MAILING ADDRESS 2007-01-11 463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL 34983 No data
REGISTERED AGENT ADDRESS CHANGED 2007-01-11 463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL 34983 No data
CANCEL ADM DISS/REV 2003-10-31 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-06
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-02-19

Related by officers

No related officers

Related by address

463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL, 34983

PRIMA VISTA HOLDINGS, LLC

463 NW PRIMA VISTA BOULEVARD, PORT ST. LUCIE, FL, 34983

PRIMA VISTA HOLDINGS, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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