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  5. PANHANDLE ORTHOPAEDICS, LLC

PANHANDLE ORTHOPAEDICS, LLC

Company Details

Entity Name: PANHANDLE ORTHOPAEDICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Dec 2010 (14 years ago)
Last Event: CONVERSION
Event Date Filed: 27 Dec 2010 (14 years ago)
Document Number: L10000131627
FEI/EIN Number 200925400
Address: 2401 Langley Ave, Unit B, Pensacola, FL, 32504, US
Mail Address: 2401 Langley Ave, Unit B, Pensacola, FL, 32504, US
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922589233 2018-08-24 2018-08-24 710 HOSPITAL DR, CRESTVIEW, FL, 325397380, US 12909 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL, 324072717, US

Contacts
Phone +1 850-398-8480
Fax 8503988482
Phone +1 850-784-7724
Fax 8507844711

Authorized person
Name MICHAEL DOW GILMORE
Role PRESIDENT
Phone 8503988480

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PANHANDLE ORTHOPAEDICS 401(K) PROFIT SHARING PLAN & TRUST 2023 200925400 2024-05-06 PANHANDLE ORTHOPAEDICS 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8503988480
Plan sponsor’s address 710 HOSPITAL DR, CRESTVIEW, FL, 32539

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
PANHANDLE ORTHOPAEDICS 401(K) PROFIT SHARING PLAN & TRUST 2022 200925400 2023-05-23 PANHANDLE ORTHOPAEDICS 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8503988480
Plan sponsor’s address 710 HOSPITAL DR, CRESTVIEW, FL, 32539

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing ERISA FIDUCIARY SERVICES, INC
Valid signature Filed with authorized/valid electronic signature
PANHANDLE ORTHOPAEDICS, LLC 401(K) PLAN AND TRUST 2015 200925400 2016-10-11 PANHANDLE ORTHOPAEDICS, LLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8503988480
Plan sponsor’s address 710 HOSPITAL DRIVE, CRESTVIEW, FL, 32539

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing MICHAEL D. GILMORE
Valid signature Filed with authorized/valid electronic signature
PANHANDLE ORTHOPAEDICS, LLC 401(K) PLAN AND TRUST 2014 200925400 2015-10-07 PANHANDLE ORTHOPAEDICS, LLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8503988480
Plan sponsor’s address 710 HOSPITAL DRIVE, CRESTVIEW, FL, 32539

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing MICHAEL D. GILMORE
Valid signature Filed with authorized/valid electronic signature
PANHANDLE ORTHOPAEDICS, LLC 401(K) PLAN AND TRUST 2013 200925400 2014-10-01 PANHANDLE ORTHOPAEDICS, LLC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8503988480
Plan sponsor’s address 710 HOSPITAL DRIVE, CRESTVIEW, FL, 32539

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing MICHAEL D. GILMORE
Valid signature Filed with authorized/valid electronic signature
PANHANDLE ORTHOPAEDICS, LLC 401(K) PLAN AND TRUST 2012 200925400 2013-10-02 PANHANDLE ORTHOPAEDICS, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8503988480
Plan sponsor’s address 710 HOSPITAL DRIVE, CRESTVIEW, FL, 32539

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing MICHAEL D. GILMORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GILMORE MICHAEL DDr. Agent 2401 Langley Ave, Pensacola, FL, 32504

Manager

Name Role Address
GILMORE MICHAEL DDr. Manager 2401 Langley Ave, Pensacola, FL, 32504

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-27 2401 Langley Ave, Unit B, Pensacola, FL 32504 No data
CHANGE OF MAILING ADDRESS 2024-03-27 2401 Langley Ave, Unit B, Pensacola, FL 32504 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-27 2401 Langley Ave, Unit B, Pensacola, FL 32504 No data
REGISTERED AGENT NAME CHANGED 2013-04-12 GILMORE, MICHAEL D., Dr. No data
CONVERSION 2010-12-27 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P04000043278. CONVERSION NUMBER 900000110009

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-03-30
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-13

Related by officers

No related officers

Related by address

2401 Langley Ave, Unit B, Pensacola, FL, 32504, US

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2401 Langley Ave, Unit B, Pensacola, FL, 32504, US

GATOR SAFETY, LLC MEDBIZ HOLDINGS, L.L.C.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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