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FAMILY MEDICINE OF ORLANDO PLLC

Company Details

Entity Name: FAMILY MEDICINE OF ORLANDO PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 01 Feb 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Oct 2021 (3 years ago)
Document Number: L11000013212
FEI/EIN Number 80-0685352
Address: 2295 S. Hiawassee Road, STE 210, ORLANDO, FL 32835
Mail Address: 2295 S. Hiawassee Road, STE 210, ORLANDO, FL 32835
ZIP code: 32835
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417669011 2022-12-15 2022-12-15 2295 S HIAWASSEE RD STE 210, ORLANDO, FL, 328358748, US 801 N ORANGE AVE STE 710, ORLANDO, FL, 328015202, US

Contacts

Phone +1 407-802-3233
Phone +1 407-343-7242

Authorized person

Name DANIEL R HAY
Role OWNER
Phone 4078023233

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
HAY, DANIEL R Agent 2295 S. Hiawassee Road, STE 210, Orlando, FL 32835

DIRECTOR

Name Role Address
HAY, DANIEL R, Dr. DIRECTOR 2295 S. Hiawassee Road, STE 210 ORLANDO, FL 32835

OWNER

Name Role Address
HAY, DANIEL R, Dr. OWNER 2295 S. Hiawassee Road, STE 210 ORLANDO, FL 32835

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000145986 ORLANDO PHYSICIANS PRACTICE, PLLC ACTIVE 2022-11-28 2027-12-31 No data 2295 S HIAWASSEE ROAD SUITE 210, 210, ORLANDO, FL, 32835

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-10-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-12 2295 S. Hiawassee Road, STE 210, ORLANDO, FL 32835 No data
CHANGE OF MAILING ADDRESS 2018-04-12 2295 S. Hiawassee Road, STE 210, ORLANDO, FL 32835 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-12 2295 S. Hiawassee Road, STE 210, Orlando, FL 32835 No data
REGISTERED AGENT NAME CHANGED 2013-04-30 HAY, DANIEL R No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J17000522575 TERMINATED 1000000755240 ORANGE 2017-08-28 2027-09-13 $ 3,702.09 STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759
J17000226813 TERMINATED 1000000739431 ORANGE 2017-04-06 2027-04-20 $ 759.50 STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759
J16000005854 TERMINATED 1000000701514 ORANGE 2015-12-14 2025-12-30 $ 1,517.96 STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759

Documents

Name Date
ANNUAL REPORT 2024-05-23
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-02-17
REINSTATEMENT 2021-10-28
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-04-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9699508601 2021-03-26 0491 PPP 2295 S Hiawassee Rd Ste 210, Orlando, FL, 32835-8748
Loan Status Date 2022-07-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25935
Loan Approval Amount (current) 25935
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32835-8748
Project Congressional District FL-10
Number of Employees 3
NAICS code 621112
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 26232.72
Forgiveness Paid Date 2022-06-03

Date of last update: 23 Feb 2025

Sources: Florida Department of State