| Entity Name: | NORTHEAST FLORIDA ENDOCRINE & DIABETES ASSOCIATION, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Apr 1992 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Aug 2018 (6 years ago) |
| Document Number: | V26005 |
| FEI/EIN Number | 59-3114490 |
| Address: | 915 WEST MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177 |
| Mail Address: | 915 WEST MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177 |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, P.A. 401(K) PLAN | 2023 | 593114490 | 2024-08-20 | NORTHEAST FLORIDA ENDOCRINE & DIABETES ASSOCIATION, P.A. | 151 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-08-20 |
| Name of individual signing | KEVIN CHEEZUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9043842240 |
| Plan sponsor’s address | 915 W. MONROE ST, SUITE 200, JACKSONVILLE, FL, 32204 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-12 |
| Name of individual signing | DAVID MAYER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Sutton, David R, MD | Agent | 915 WEST MONROE ST, SUITE 200, JACKSONVILLE, FL 32204 |
| Name | Role | Address |
|---|---|---|
| SUTTON, DAVID R | PARTNER | 1135 BROOKWOOD RD., JACKSONVILLE, FL 32207 |
| ROURA, MIGUEL | PARTNER | 3813 Silverpoint Lane, JACKSONVILLE, FL 32216 |
| SILVA, RICARDO A | PARTNER | 10135 BISHOP LAKE ROAD W, JACKSONVILLE, FL 32256 |
| WADUD, KHURRAM T | PARTNER | 1555 GREEN MOSS LANE, ORANGE PARK, FL 32065 |
| MAGEE, JAMES S | PARTNER | 6360 CHRISTOPHER CRK RD W, JACKSONVILLE, FL 32217 |
| Name | Role | Address |
|---|---|---|
| EVANS, JOHN G | PRESIDENT | 324 KEELERS CT, PONTE VEDRA BEACH, FL 32082 |
| Name | Role | Address |
|---|---|---|
| SULTAN, SENAN | CHAIRMAN | 5341 Commissioners Dr, JACKSONVILLE, FL 32224 |
| SHRESTHA, ANIL | CHAIRMAN | 163 LA MESA DRIVE, ST AUGUSTINE, FL 32095 |
| Name | Role | Address |
|---|---|---|
| SULTAN, SENAN | FINANCE COMMITTEE | 5341 Commissioners Dr, JACKSONVILLE, FL 32224 |
| Name | Role | Address |
|---|---|---|
| SHRESTHA, ANIL | QUALITY IMPROVEMENT COMMITTEE | 163 LA MESA DRIVE, ST AUGUSTINE, FL 32095 |
| Name | Role | Address |
|---|---|---|
| SHRESTHA, ANIL | President | 163 LA MESA DRIVE, ST AUGUSTINE, FL 32095 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000067804 | NEFEDA | ACTIVE | 2023-06-02 | 2028-12-31 | No data | 915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL, 32204 |
| G23000065080 | NEFEDA | ACTIVE | 2023-05-25 | 2028-12-31 | No data | 915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL, 32204 |
| G13000065556 | NORTHEAST FLORIDA ENDOCRINE & DIABETES ASSOCIATES | ACTIVE | 2013-06-28 | 2028-12-31 | No data | 915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL, 32204 |
| G13000065557 | NEFEDA | EXPIRED | 2013-06-28 | 2018-12-31 | No data | 915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL, 32204 |
| G11000077232 | THE DIABETES WELLNESS CENTER | EXPIRED | 2011-08-03 | 2016-12-31 | No data | 915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-04-10 | Sutton, David R, MD | No data |
| AMENDMENT | 2018-08-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-15 | 915 WEST MONROE ST, SUITE 200, JACKSONVILLE, FL 32204 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-22 | 915 WEST MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177 | No data |
| CHANGE OF MAILING ADDRESS | 2008-10-22 | 915 WEST MONROE ST, STE 200, JACKSONVILLE, FL 32204-1177 | No data |
| MERGER | 1998-10-30 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000020199 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-05-11 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-10 |
| Amendment | 2018-08-24 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
