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  5. FLORIDA OTOLARYNGOLOGY GROUP, P.A.

FLORIDA OTOLARYNGOLOGY GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: FLORIDA OTOLARYNGOLOGY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA OTOLARYNGOLOGY GROUP, 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: 21 Jun 1985 (40 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 04 Jan 2017 (8 years ago)
Document Number: H63145
FEI/EIN Number 592591108

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792, US
Mail Address: 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792, US
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740368802 2006-11-02 2009-12-08 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 327928659, US 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 327928659, US

Contacts
Phone +1 407-677-0099

Authorized person
Name MS. MICHELLE STEPHANIE MAKUTA
Role OFFICE MANAGER
Phone 4073510675

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 060823800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF FLORIDA OTOLARYNGOLOGY GROUP, PA 2023 592591108 2024-11-13 FLORIDA OTOLARYNGOLOGY GROUP, P. A. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2024-11-13
Name of individual signing INDRANIL DEBNATH
Valid signature Filed with authorized/valid electronic signature
FLORIDA OTOLARYNGOLOGY GROUP, P.A. CASH BALANCE PENSION PLAN 2023 592591108 2024-12-17 FLORIDA OTOLARYNGOLOGY GROUP, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2024-12-17
Name of individual signing INDRANIL DEBNATH
Valid signature Filed with authorized/valid electronic signature
FLORIDA OTOLARYNGOLOGY GROUP, P. A. CASH BALANCE PENSION PLAN 2022 592591108 2024-12-05 FLORIDA OTOLARYNGOLOGY GROUP, P. A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2024-12-05
Name of individual signing INDRANIL DEBNATH
Valid signature Filed with authorized/valid electronic signature
FLORIDA OTOLARYNGOLOGY GROUP, P. A. CASH BALANCE PENSION PLAN 2022 592591108 2023-10-16 FLORIDA OTOLARYNGOLOGY GROUP, P. A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing INDRANIL DEBNATH
Valid signature Filed with authorized/valid electronic signature
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF FLORIDA OTOLARYNGOLOGY GROUP, PA 2022 592591108 2023-10-16 FLORIDA OTOLARYNGOLOGY GROUP, P. A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing INDRANIL DEBNATH
Valid signature Filed with authorized/valid electronic signature
FLORIDA OTOLARYNGOLOGY GROUP, P. A. CASH BALANCE PENSION PLAN 2021 592591108 2023-02-15 FLORIDA OTOLARYNGOLOGY GROUP, P. A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792
FLORIDA OTOLARYNGOLOGY GROUP, P. A. CASH BALANCE PENSION PLAN 2020 592591108 2021-10-14 FLORIDA OTOLARYNGOLOGY GROUP, P. A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF FLORIDA OTOLARYNGOLOGY GROUP, P.A. 2019 592591108 2020-10-13 FLORIDA OTOLARYNGOLOGY GROUP, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BOULEVARD, SUITE 300, WINTER PARK, FL, 32792
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF FLORIDA OTOLARYNGOLOGY GROUP, P.A. 2018 592591108 2019-10-15 FLORIDA OTOLARYNGOLOGY GROUP, P.A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BOULEVARD, SUITE 300, WINTER PARK, FL, 32792
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF FLORIDA OTOLARYNGOLOGY GROUP, P.A. 2017 592591108 2018-10-15 FLORIDA OTOLARYNGOLOGY GROUP, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 4076770099
Plan sponsor’s address 7251 UNIVERSITY BOULEVARD, SUITE 300, WINTER PARK, FL, 32792

Key Officers & Management

Name Role Address
DEBNATH INDRANIL MD President 7251 UNIVERSITY BLVD #300, WINTER PARK, FL, 32792
STEEHLER MARK WDr. Vice President 7251 UNIVERSITY BLVD, WINTER PARK, FL, 32792
Izquierdo Luis GDr. Vice President 7251 UNIVERSITY BLVD, WINTER PARK, FL, 32792
DEBNATH INDRANIL MD Agent 7251 UNIVERSITY BLVD, WINTER PARK, FL, 32792

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000080113 ORLANDO SINUS & ALLERGY CENTER EXPIRED 2013-08-12 2018-12-31 - 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-31 DEBNATH, INDRANIL, MD -
AMENDED AND RESTATEDARTICLES 2017-01-04 - -
CHANGE OF PRINCIPAL ADDRESS 2005-04-20 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL 32792 -
CHANGE OF MAILING ADDRESS 2005-04-20 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL 32792 -
REGISTERED AGENT ADDRESS CHANGED 2005-04-20 7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL 32792 -
EVENT CONVERTED TO NOTES 1989-12-29 - -
NAME CHANGE AMENDMENT 1989-12-29 FLORIDA OTOLARYNGOLOGY GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-04
ANNUAL REPORT 2017-03-16
Amended and Restated Articles 2017-01-04
ANNUAL REPORT 2016-03-03

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
109718437 0420600 1992-05-05 5979 VINELAND RD., SUITE 101, ORLANDO, FL, 32819
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1992-05-07
Case Closed 1992-07-14

Related Activity
Type Complaint
Activity Nr 74234592
Safety Yes
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100212 A01
Issuance Date 1992-06-17
Abatement Due Date 1992-07-11
Current Penalty 225.0
Initial Penalty 375.0
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 02001
Citaton Type Other
Standard Cited 19040005 C
Issuance Date 1992-06-17
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 30
Related Event Code (REC) Complaint
Gravity 00
Citation ID 02002
Citaton Type Other
Standard Cited 19101200 G01
Issuance Date 1992-06-17
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 30
Related Event Code (REC) Complaint
Gravity 00

Companies related by officers

No other companies in our directory share the same officers as FLORIDA OTOLARYNGOLOGY GROUP, P.A.

Companies related by address

7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792, US

UNIVERSITY BOULEVARD MEDICAL CENTER, INC.

7251 UNIVERSITY BLVD, SUITE 300, WINTER PARK, FL, 32792, US

UNIVERSITY BOULEVARD MEDICAL CENTER, INC.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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