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ORLANDO ORAL & FACIAL SURGERY, PLLC - Florida Company Profile

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Company Details

Entity Name: ORLANDO ORAL & FACIAL SURGERY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Aug 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 20 Nov 2013 (12 years ago)
Document Number: L12000105829
FEI/EIN Number 46-0796483
Address: 2045 LEE ROAD, WINTER PARK, FL, 32789
Mail Address: 2045 LEE ROAD, WINTER PARK, FL, 32789
ZIP code: 32789
City: Winter Park
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Gerena Evelis Agent 2045 LEE ROAD, WINTER PARK, FL, 32789
Whitman Dean H Manager 2045 Lee Road, Winter Park, FL, 32789
Martinez Pablo Manager 2045 Lee Road, Winter Park, FL, 32789
Goldberg Avery D Manager 2045 Lee Road, Winter Park, FL, 32789
Campbell Aaron L Manager 2045 Lee Road, Winter Park, FL, 32789

National Provider Identifier

NPI Number:
1205920204

Authorized Person:

Name:
MRS. EVELIS GERENA
Role:
ACCOUNTS PAYABLE
Phone:

Taxonomy:

Selected Taxonomy:
1223P0106X - Oral and Maxillofacial Pathology Dentist
Is Primary:
No
Selected Taxonomy:
1223X0008X - Oral and Maxillofacial Radiology Dentist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
4076299078

Form 5500 Series

Employer Identification Number (EIN):
460796483
Plan Year:
2021
Number Of Participants:
50
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
53
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
48
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
35
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
36
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-04-24 Gerena, Evelis -
LC AMENDMENT 2013-11-20 - -
LC AMENDMENT 2013-05-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-04-21
AMENDED ANNUAL REPORT 2015-09-10

USAspending Awards / Financial Assistance

Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
429325.00
Total Face Value Of Loan:
429325.00

Paycheck Protection Program

Jobs Reported:
45
Initial Approval Amount:
$429,325
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$429,325
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$433,797.14
Servicing Lender:
First Horizon Bank
Use of Proceeds:
Payroll: $429,325

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Date of last update: 03 Aug 2025

Sources: Florida Department of State