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  5. WINTER PARK FAMILY PRACTICE, LLC

WINTER PARK FAMILY PRACTICE, LLC - Florida Company Profile

Company Details

Entity Name: WINTER PARK FAMILY PRACTICE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WINTER PARK FAMILY PRACTICE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 14 Jul 2005 (20 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Sep 2008 (16 years ago)
Document Number: L05000069128
FEI/EIN Number 861143549

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1400 S. ORLANDO AVE, SUITE 204, WINTER PARK, FL, 32789, US
Mail Address: 1400 S. ORLANDO AVE, SUITE 204, WINTER PARK, FL, 32789, US
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740268929 2006-01-06 2013-12-05 PO BOX 21406, TAMPA, FL, 336221406, US 1400 S ORLANDO AVE, STE 204, WINTER PARK, FL, 327895543, US

Contacts
Phone +1 727-823-2188
Fax 7278280723
Phone +1 407-647-4008
Fax 4076473207

Authorized person
Name DR. VARESH PATEL
Role OWNER
Phone 7278232188

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
State FL
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number DQ6581
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2017 592218290 2018-01-25 WINTER PARK FAMILY PRACTICE 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 327922272
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2016 592218290 2018-01-11 WINTER PARK FAMILY PRACTICE 1
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2016 592218290 2017-10-12 WINTER PARK FAMILY PRACTICE 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2015 592218290 2016-07-21 WINTER PARK FAMILY PRACTICE 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing DR. GREGORY P. SAMANO II, DO
Valid signature Filed with authorized/valid electronic signature
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2014 592218290 2015-10-13 WINTER PARK FAMILY PRACTICE 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing DR. GREGORY P. SAMANO II, DO
Valid signature Filed with authorized/valid electronic signature
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2013 592218290 2014-06-20 WINTER PARK FAMILY PRACTICE 27
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2012 592218290 2013-07-23 WINTER PARK FAMILY PRACTICE 31
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2011 592218290 2012-06-20 WINTER PARK FAMILY PRACTICE 30
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592218290
Plan administrator’s name WINTER PARK FAMILY PRACTICE
Plan administrator’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792
Administrator’s telephone number 4076785554

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-20
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
WINTER PARK FAMILY PRACTICE MONEY PURCHASE PENSION PLAN 2010 592218290 2011-07-01 WINTER PARK FAMILY PRACTICE 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592218290
Plan administrator’s name WINTER PARK FAMILY PRACTICE
Plan administrator’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792
Administrator’s telephone number 4076785554

Signature of
Role Plan administrator
Date 2011-07-01
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-01
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
WINTER PARK FAMILY PRACTICE 401(K) PLAN 2009 592218290 2010-07-20 WINTER PARK FAMILY PRACTICE 29
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 4076785554
Plan sponsor’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592218290
Plan administrator’s name WINTER PARK FAMILY PRACTICE
Plan administrator’s address 2830 CASA ALOMA WAY, WINTER PARK, FL, 32792
Administrator’s telephone number 4076785554

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing DR. MAX WATZMAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GROOVER LAW, PLLC Agent -
PATEL VARESH RDr. Manager 1400 S. ORLANDO AVE, WINTER PARK, FL, 32789

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-30 Groover Law, PLLC -
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 7575 Kingspointe Parkway, Suite 9, Orlando, FL 32819 -
CHANGE OF PRINCIPAL ADDRESS 2011-01-11 1400 S. ORLANDO AVE, SUITE 204, WINTER PARK, FL 32789 -
CHANGE OF MAILING ADDRESS 2011-01-11 1400 S. ORLANDO AVE, SUITE 204, WINTER PARK, FL 32789 -
LC AMENDMENT 2008-09-29 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-03-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3682187307 2020-04-29 0491 PPP 1400 S ORLANDO AVE STE 204, WINTER PARK, FL, 32789
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37940
Loan Approval Amount (current) 37940
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WINTER PARK, ORANGE, FL, 32789-0902
Project Congressional District FL-10
Number of Employees 4
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 38352.09
Forgiveness Paid Date 2021-06-04

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Companies related by address

1400 S. ORLANDO AVE, SUITE 204, WINTER PARK, FL, 32789, US

ROYAL HUTTON SECURITIES CORP.

1400 S. ORLANDO AVE, SUITE 204, WINTER PARK, FL, 32789, US

ROYAL HUTTON SECURITIES CORP.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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