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PULMONARY PHYSICIANS, P.A.

Company Details

Entity Name: PULMONARY PHYSICIANS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Feb 1999 (26 years ago)
Document Number: P99000019537
FEI/EIN Number 593557176
Address: 6041 SW 73RD ST RD, OCALA, FL, 34476
Mail Address: PO BOX 3008, OCALA, FL, 34478
ZIP code: 34476
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194935130 2007-05-22 2008-05-14 PO BOX 3008, OCALA, FL, 344783008, US 6041 SW 73RD STREET RD, OCALA, FL, 344766464, US

Contacts

Phone +1 352-629-1199
Fax 3526291341

Authorized person

Name PERIN ALFRED
Role OWNER
Phone 3526291199

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number ME0064129
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 377265900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PULMONARY PHYSICIANS, P.A. 401(K) PLAN 2023 593557176 2024-10-11 PULMONARY PHYSICIANS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7542450048
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing JUDITH ZAMBRANO
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2022 593557176 2023-06-05 PULMONARY PHYSICIANS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-05
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2021 593557176 2022-06-16 PULMONARY PHYSICIANS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2022-06-16
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-16
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2020 593557176 2021-07-05 PULMONARY PHYSICIANS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2021-07-05
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2019 593557176 2020-06-16 PULMONARY PHYSICIANS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2020-06-16
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-16
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2018 593557176 2019-05-17 PULMONARY PHYSICIANS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2019-05-17
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-17
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2017 593557176 2018-05-08 PULMONARY PHYSICIANS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2018-05-08
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2016 593557176 2017-06-22 PULMONARY PHYSICIANS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, 6041 SW 73RD STREET RD., OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2017-06-22
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401 (K) /PROFIT SHARING EMPLOYEE SAVINGS PLAN 2016 593557176 2017-06-22 PULMONARY PHYSICIANS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address PO BOX 3008, OCALA, FL, 344783008

Signature of

Role Plan administrator
Date 2017-06-22
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS, P.A. 401(K) / PROFIT SHARING EMPLOYEE SAVINGS PLAN 2015 593557176 2016-06-20 PULMONARY PHYSICIANS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3526291199
Plan sponsor’s address 6041 SW 73RD STREET RD., PO BOX 3008, OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2016-06-20
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-20
Name of individual signing DENISE WOODS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALFRED PERIN M Agent 820 SE 36TH LANE, OCALA, FL, 34471

President

Name Role Address
ALFRED PERIN M President 820 SE 36TH LANE, OCALA, FL, 34471

Officer

Name Role Address
ALFRED LILIAN Officer 820 SE 36TH LANE, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2012-01-05 6041 SW 73RD ST RD, OCALA, FL 34476 No data
REGISTERED AGENT NAME CHANGED 2007-04-30 ALFRED, PERIN M.D. No data
REGISTERED AGENT ADDRESS CHANGED 2007-04-30 820 SE 36TH LANE, OCALA, FL 34471 No data
CHANGE OF PRINCIPAL ADDRESS 2003-02-27 6041 SW 73RD ST RD, OCALA, FL 34476 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-03-22
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-03-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State