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  5. EMERGENCY PHYSICIAN SPECIALISTS, INC.

EMERGENCY PHYSICIAN SPECIALISTS, INC. - Florida Company Profile

Company Details

Entity Name: EMERGENCY PHYSICIAN SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EMERGENCY PHYSICIAN SPECIALISTS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 06 Dec 1999 (25 years ago)
Date of dissolution: 24 Dec 2020 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Dec 2020 (4 years ago)
Document Number: P99000105324
FEI/EIN Number 593612278

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 8390 Champions Gate Blvd, S215, DAVENPORT, FL, 33896, US
Mail Address: 8390 Championsgate Blvd, Championsgate, FL, 33896, US
ZIP code: 33896
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912973850 2006-02-28 2018-10-16 8390 CHAMPIONS GATE BLVD, STE 306, CHAMPIONS GATE, FL, 33896, US 40100 HIGHWAY 27, DAVENPORT, FL, 33837, US

Contacts
Phone +1 407-390-1677
Fax 4073901765
Phone +1 863-422-4971

Authorized person
Name MR. JOSH PLUMMER
Role COO
Phone 4073901677

Taxonomy
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 257859002
State FL
Issuer BCBS
Number 38899
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2018 593612278 2019-04-29 EMERGENCY PHYSICIAN SPECIALISTS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2017 593612278 2018-05-08 EMERGENCY PHYSICIAN SPECIALISTS, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing JOSH PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing JOSH PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2016 593612278 2017-06-08 EMERGENCY PHYSICIAN SPECIALISTS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2015 593612278 2016-09-29 EMERGENCY PHYSICIAN SPECIALISTS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2014 593612278 2015-10-08 EMERGENCY PHYSICIAN SPECIALISTS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2013 593612278 2014-08-21 EMERGENCY PHYSICIAN SPECIALISTS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2014-08-21
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-21
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2012 593612278 2013-07-30 EMERGENCY PHYSICIAN SPECIALISTS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2011 593612278 2012-09-25 EMERGENCY PHYSICIAN SPECIALISTS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Plan administrator’s name and address
Administrator’s EIN 593612278
Plan administrator’s name EMERGENCY PHYSICIAN SPECIALISTS, INC.
Plan administrator’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896
Administrator’s telephone number 4073901677

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PHYSICIAN SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2010 593612278 2011-07-06 EMERGENCY PHYSICIAN SPECIALISTS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4073901677
Plan sponsor’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896

Plan administrator’s name and address
Administrator’s EIN 593612278
Plan administrator’s name EMERGENCY PHYSICIAN SPECIALISTS, INC.
Plan administrator’s address 8390 CHAMPIONSGATE BLVD., SUITE 306, CHAMPIONSGATE, FL, 33896
Administrator’s telephone number 4073901677

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing JOSHUA PLUMMER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CAMBO JORGE President 8390 Champions Gate Blvd, DAVENPORT, FL, 33896
CAMBO JORGE Treasurer 8390 Champions Gate Blvd, DAVENPORT, FL, 33896
CAMBO JORGE Director 8390 Champions Gate Blvd, DAVENPORT, FL, 33896
MCHALE MICHAEL Vice President 8390 Champions Gate Blvd, DAVENPORT, FL, 33896
MCHALE MICHAEL Secretary 8390 Champions Gate Blvd, DAVENPORT, FL, 33896
MCHALE MICHAEL Director 8390 Champions Gate Blvd, DAVENPORT, FL, 33896
LINDSEY JACQUELINE Vice President 8390 Champions Gate Blvd, Davenport, FL, 33896
LINDSEY JACQUELINE Director 8390 Champions Gate Blvd, Davenport, FL, 33896
BOYER MICHAEL Vice President 8390 Champions Gate Blvd, Davenport, FL, 33896
BOYER MICHAEL Director 8390 Champions Gate Blvd, Davenport, FL, 33896

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-12-24 - -
CHANGE OF PRINCIPAL ADDRESS 2017-03-15 8390 Champions Gate Blvd, S215, DAVENPORT, FL 33896 -
CHANGE OF MAILING ADDRESS 2017-03-15 8390 Champions Gate Blvd, S215, DAVENPORT, FL 33896 -
REGISTERED AGENT ADDRESS CHANGED 2014-02-25 8390 Championsgate Blvd, 306, Championsgate, FL 33896 -
NAME CHANGE AMENDMENT 2000-12-15 EMERGENCY PHYSICIAN SPECIALISTS, INC. -
REINSTATEMENT 2000-11-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-12-24
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-03-02
ANNUAL REPORT 2014-02-25
ANNUAL REPORT 2013-02-19
ANNUAL REPORT 2012-02-06

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Companies related by address

No other companies in our directory share the same address as EMERGENCY PHYSICIAN SPECIALISTS, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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