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LOREN J. MILLER DPM, PLC

Company Details

Entity Name: LOREN J. MILLER DPM, PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Feb 2002 (23 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 02 Feb 2004 (21 years ago)
Document Number: L02000005972
FEI/EIN Number 59-2766269
Address: 4167 5TH AVENUE NORTH, ST. PETERSBURG, FL 33713
Mail Address: 4167 5TH AVENUE NORTH, ST. PETERSBURG, FL 33713
ZIP code: 33713
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851430672 2007-02-06 2011-08-11 4167 5TH AVE N, ST PETERSBURG, FL, 337136303, US 4167 5TH AVE N, ST PETERSBURG, FL, 337136303, US

Contacts

Phone +1 727-321-3100
Fax 7273276800

Authorized person

Name DR. LOREN J MILLER
Role PHYSICIAN
Phone 7273213100

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO1707
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOREN J. MILLER, DPM, PLC PENSION PLAN 2023 592766269 2024-10-10 LOREN J. MILLER, DPM, PLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 FIFTH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing LOREN J MILLER
Valid signature Filed with authorized/valid electronic signature
LOREN J. MILLER, DPM, PLC 401(K) PLAN 2023 592766269 2024-10-06 LOREN J. MILLER, DPM, PLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 5TH AVENUE NORTH, ST. PETERSBURG, FL, 33713

Signature of

Role Plan administrator
Date 2024-10-06
Name of individual signing LOREN J MILLER
Valid signature Filed with authorized/valid electronic signature
LOREN J. MILLER, DPM, PLC 401(K) PLAN 2022 592766269 2023-10-04 LOREN J. MILLER, DPM, PLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 5TH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC PENSION PLAN 2022 592766269 2023-07-13 LOREN J. MILLER, DPM, PLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 FIFTH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC 401(K) PLAN 2021 592766269 2022-10-12 LOREN J. MILLER, DPM, PLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 5TH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC PENSION PLAN 2021 592766269 2022-09-14 LOREN J. MILLER, DPM, PLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 FIFTH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC PENSION PLAN 2020 592766269 2021-09-09 LOREN J. MILLER, DPM, PLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 FIFTH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC 401(K) PLAN 2020 592766269 2021-10-14 LOREN J. MILLER, DPM, PLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 5TH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC PENSION PLAN 2019 592766269 2020-07-15 LOREN J. MILLER, DPM, PLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 FIFTH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303
LOREN J. MILLER, DPM, PLC 401(K) PLAN 2019 592766269 2020-07-13 LOREN J. MILLER, DPM, PLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621391
Sponsor’s telephone number 7273213100
Plan sponsor’s address 4167 5TH AVENUE NORTH, SUITE B, ST. PETERSBURG, FL, 337136303

Agent

Name Role Address
MILLER, LOREN Agent 4167 5TH AVENUE NORTH, SAINT PETERSBURG, FL 33713

Manager

Name Role Address
MILLER, LOREN Manager 4167 5TH AVE N, SAINT PETERSBURG, FL 33713

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-19 MILLER, LOREN No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-19 4167 5TH AVENUE NORTH, SAINT PETERSBURG, FL 33713 No data
CHANGE OF PRINCIPAL ADDRESS 2006-01-12 4167 5TH AVENUE NORTH, ST. PETERSBURG, FL 33713 No data
CHANGE OF MAILING ADDRESS 2006-01-12 4167 5TH AVENUE NORTH, ST. PETERSBURG, FL 33713 No data
NAME CHANGE AMENDMENT 2004-02-02 LOREN J. MILLER DPM, PLC No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-02-11
ANNUAL REPORT 2015-03-18

Date of last update: 31 Jan 2025

Sources: Florida Department of State