Search icon

ORRIN D. MITCHELL, D.D.S., P.A. - Florida Company Profile

Company Details

Entity Name: ORRIN D. MITCHELL, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ORRIN D. MITCHELL, D.D.S., P.A. 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: 01 Oct 1978 (47 years ago)
Document Number: 588203
FEI/EIN Number 591847618

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1190-A WEST EDGEWOOD AVE., SUITE A, JACKSONVILLE, FL, 32208
Mail Address: 1190-A WEST EDGEWOOD AVE., SUITE A, JACKSONVILLE, FL, 32208
ZIP code: 32208
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013288943 2012-01-24 2013-03-27 1190 EDGEWOOD AVE W, SUITE A, JACKSONVILLE, FL, 322083419, US 10920 BAYMEADOWS RD, SUITE 14, JACKSONVILLE, FL, 322564570, US

Contacts

Phone +1 904-766-6000
Fax 9047666003
Phone +1 904-538-9300
Fax 9045839350

Authorized person

Name DR. ORRIN D MITCHELL
Role OWNER
Phone 9045389300

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN 6224
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORRIN D. MITCHELL, D.D.S., P.A. DEFINED BENEFIT PLAN 2011 591847618 2013-01-29 ORRIN D. MITCHELL, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-10-01
Business code 621210
Sponsor’s telephone number 9047666000
Plan sponsor’s address 1190 W. EDGEWOOD BLVD., STE A, JACKSONVILLE, FL, 322083419

Plan administrator’s name and address

Administrator’s EIN 591847618
Plan administrator’s name ORRIN D. MITCHELL, D.D.S., P.A.
Plan administrator’s address 1190 W. EDGEWOOD BLVD., STE A, JACKSONVILLE, FL, 322083419
Administrator’s telephone number 9047666000

Signature of

Role Plan administrator
Date 2013-01-29
Name of individual signing ORRIN D. MITCHELL
Valid signature Filed with authorized/valid electronic signature
ORRIN D. MITCHELL, D.D.S., P.A. DEFINED BENEFIT PLAN 2010 591847618 2012-05-14 ORRIN D. MITCHELL, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-10-01
Business code 621210
Sponsor’s telephone number 9047666000
Plan sponsor’s address 1190 W. EDGEWOOD BLVD., STE A, JACKSONVILLE, FL, 322083419

Plan administrator’s name and address

Administrator’s EIN 591847618
Plan administrator’s name ORRIN D. MITCHELL, D.D.S., P.A.
Plan administrator’s address 1190 W. EDGEWOOD BLVD., STE A, JACKSONVILLE, FL, 322083419
Administrator’s telephone number 9047666000

Signature of

Role Plan administrator
Date 2012-05-14
Name of individual signing ORRIN D. MITCHELL, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORRIN D. MITCHELL, D.D.S., P.A. DEFINED BENEFIT PLAN 2009 591847618 2011-07-13 ORRIN D. MITCHELL, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-10-01
Business code 621210
Sponsor’s telephone number 9047666000
Plan sponsor’s address 1190 W. EDGEWOOD BLVD., STE A, JACKSONVILLE, FL, 322083419

Plan administrator’s name and address

Administrator’s EIN 591847618
Plan administrator’s name ORRIN D. MITCHELL, D.D.S., P.A.
Plan administrator’s address 1190 W. EDGEWOOD BLVD., STE A, JACKSONVILLE, FL, 322083419
Administrator’s telephone number 9047666000

Signature of

Role Plan administrator
Date 2011-07-12
Name of individual signing ORRIN D. MITCHELL, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MITCHELL, PATRICIA Treasurer 1190-A W. EDGEWOOD AVE., JACKSONVILLE, FL, 32208
MITCHELL, ORRIN D.,D.D.S President 1190-A W. EDGEWOOD AVE., JACKSONVILLE, FL, 32208
MITCHELL, ORRIN D.,D.D.S Director 1190-A W. EDGEWOOD AVE., JACKSONVILLE, FL, 32208
MITCHELL, PATRICIA Secretary 1190-A W. EDGEWOOD AVE., JACKSONVILLE, FL, 32208
MITCHELL, ORRIN D. Agent 1190-A W. EDGEWOOD AVE., JACKSONVILLE, FL, 32208

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G07082900236 JACKSONVILLE ORTHODONTICS ACTIVE 2007-03-23 2027-12-31 - 1190 W. EDGEWOOD AVE., SUITE A, JACKSONVILLE, FL, 32208

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2011-04-11 1190-A W. EDGEWOOD AVE., A, JACKSONVILLE, FL 32208 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-29 1190-A WEST EDGEWOOD AVE., SUITE A, JACKSONVILLE, FL 32208 -
CHANGE OF MAILING ADDRESS 2009-04-29 1190-A WEST EDGEWOOD AVE., SUITE A, JACKSONVILLE, FL 32208 -

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-03-31
ANNUAL REPORT 2016-04-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6969757705 2020-05-01 0491 PPP 1190 EDGEWOOD AVE W STE A, JACKSONVILLE, FL, 32208-3419
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 27027
Loan Approval Amount (current) 27027
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address JACKSONVILLE, DUVAL, FL, 32208-3419
Project Congressional District FL-04
Number of Employees 5
NAICS code 621210
Borrower Race Black or African American
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 27203.6
Forgiveness Paid Date 2021-02-12
3038778400 2021-02-04 0491 PPS 1190 Edgewood Ave W Ste A, Jacksonville, FL, 32208-3419
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25000
Loan Approval Amount (current) 25000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jacksonville, DUVAL, FL, 32208-3419
Project Congressional District FL-04
Number of Employees 4
NAICS code 621210
Borrower Race Black or African American
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 25138.36
Forgiveness Paid Date 2021-08-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State