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  5. ENDOSCOPY CENTER OF OCALA, INC.

ENDOSCOPY CENTER OF OCALA, INC. - Florida Company Profile

Company Details

Entity Name: ENDOSCOPY CENTER OF OCALA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ENDOSCOPY CENTER OF OCALA, 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Oct 1991 (34 years ago)
Last Event: AMENDMENT
Event Date Filed: 11 Jul 2022 (3 years ago)
Document Number: S86480
FEI/EIN Number 593088327

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1901 SE 18TH AVE, BUILDING #400, OCALA, FL, 34471, US
Mail Address: 1901 SE 18TH AVE, BUILDING #400, OCALA, FL, 34471, US
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609953942 2006-11-01 2010-12-21 1901 SE 18TH AVE, BUILDING #400, OCALA, FL, 344718215, US 1901 SE 18TH AVE, BUILDING #400, OCALA, FL, 344718215, US

Contacts
Phone +1 352-732-8905
Fax 3527322307
Fax 3527322440

Authorized person
Name WILLIAM EMERSON
Role ADMINISTRATOR
Phone 3526713882

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 3751791-00
State FL

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300TKU4QN4SN66Q68 S86480 US-FL GENERAL ACTIVE -

Addresses
Legal C/O Emerson, William, 1901 South East 18th Avenue, Suite 400, Ocala, US-FL, US, 34471
Headquarters 1901 South East 18th Avenue, Suite 400, Ocala, US-FL, US, 34471

Registration details
Registration Date 2015-04-14
Last Update 2023-08-04
Status LAPSED
Next Renewal 2016-04-09
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As S86480

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENDOSCOPY CENTER OF OCALA, INC. PROFIT SHARING PLAN 2018 593088327 2019-09-27 ENDOSCOPY CENTER OF OCALA, INC. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH AVENUE, BUILDING 400, OCALA, FL, 344718213

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2017 593088327 2018-09-07 ENDOSCOPY CENTER OF OCALA, INC. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH AVENUE #400, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1901 SOUTHEAST 18TH AVENUE #400, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2018-09-07
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2016 593088327 2017-05-19 ENDOSCOPY CENTER OF OCALA, INC. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH AVENUE #400, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1901 SOUTHEAST 18TH AVENUE #400, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2015 593088327 2016-04-28 ENDOSCOPY CENTER OF OCALA, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2014 593088327 2015-09-18 ENDOSCOPY CENTER OF OCALA, INC. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2013 593088327 2014-06-25 ENDOSCOPY CENTER OF OCALA, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2012 593088327 2013-05-15 ENDOSCOPY CENTER OF OCALA, INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1901 SOUTHEAST 18TH PLACE #400, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2013-05-15
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2011 593088327 2012-04-27 ENDOSCOPY CENTER OF OCALA, INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1150 SOUTHEAST 18TH PLACE, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1150 SOUTHEAST 18TH PLACE, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2012-04-27
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLAN 2010 593088327 2011-07-07 ENDOSCOPY CENTER OF OCALA, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1150 SOUTHEAST 18TH PLACE, OCALA, FL, 344715422

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1150 SOUTHEAST 18TH PLACE, OCALA, FL, 344715422
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing ROBERT BARISH
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF OCALA INC. PROFIT SHARING PLA 2009 593088327 2010-07-28 ENDOSCOPY CENTER OF OCALA, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3527328905
Plan sponsor’s address 1910 SE 18TH AVENUE, BUILDING 400, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 593088327
Plan administrator’s name ENDOSCOPY CENTER OF OCALA, INC.
Plan administrator’s address 1910 SE 18TH AVENUE, BUILDING 400, OCALA, FL, 34471
Administrator’s telephone number 3527328905

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing ROBERT BARISH, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing ROBERT BARISH, MD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RUMALLA PRABHAKAR Vice President 1901 SE 18TH AVE, BUILDING 400, OCALA, FL, 34471
RAMOS MIGUEL A Vice President 1901 S.E. 18TH AVE., BUILDING # 400, OCALA, FL, 34471
RUMALLA ASHWIN DR. President 1901 SE 18TH AVE, OCALA, FL, 34471
Mathew Thomas Vice President 1901 SE 18TH AVE, OCALA, FL, 34471
DeJongh-Beyer Mariana Dr. Vice President 1901 SE 18TH AVE, OCALA, FL, 34471
OLEJEME HENRY MD Vice President 1901 SE 18TH AVE, OCALA, FL, 34471
EMERSON WILLIAM Agent 1901 S.E. 18TH AVE, OCALA, FL, 34471

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G93070000084 GASTROENTEROLOGY ASSOCIATES OF OCALA ACTIVE 1993-03-11 2028-12-31 - 1901 SE 18TH AVE, BUILDING #400, OCALA, FL, 34471, US

Events

Event Type Filed Date Value Description
AMENDMENT 2022-07-11 - -
CHANGE OF MAILING ADDRESS 2010-02-19 1901 SE 18TH AVE, BUILDING #400, OCALA, FL 34471 -
REGISTERED AGENT ADDRESS CHANGED 2010-02-19 1901 S.E. 18TH AVE, BUILDING #400, OCALA, FL 34471 -
CHANGE OF PRINCIPAL ADDRESS 2010-02-19 1901 SE 18TH AVE, BUILDING #400, OCALA, FL 34471 -
REGISTERED AGENT NAME CHANGED 2009-03-23 EMERSON, WILLIAM -
CANCEL ADM DISS/REV 2005-10-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
AMENDMENT 1994-10-06 - -
CORPORATE MERGER 1993-01-04 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 500000000635

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-18
Amendment 2022-07-11
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-02-08
ANNUAL REPORT 2017-01-31
ANNUAL REPORT 2016-01-25

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
335468385 0419700 2012-07-16 17355 SE 109TH TERR RD, SUMMERFIELD, FL, 34491
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2012-07-19
Emphasis L: SHARPS
Case Closed 2012-10-03

Related Activity
Type Inspection
Activity Nr 548138
Health Yes

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6192527107 2020-04-14 0491 PPP 1901 SE 18th Avenue Bldg 400, OCALA, FL, 34471-8213
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1277352
Loan Approval Amount (current) 1277352
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address OCALA, MARION, FL, 34471-8213
Project Congressional District FL-03
Number of Employees 126
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1286364.43
Forgiveness Paid Date 2020-12-31

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Companies related by address

No other companies in our directory share the same address as ENDOSCOPY CENTER OF OCALA, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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