Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Orange
    4. ›
  4. 32812
    5. ›
  5. DANG WYNN MEDICAL, LLC

DANG WYNN MEDICAL, LLC

Company Details

Entity Name: DANG WYNN MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jun 2015 (10 years ago)
Document Number: L15000101075
FEI/EIN Number 47-4315208
Address: 4692 hoffner ave, orlando, FL, 32812, US
Mail Address: 4692 hoffner ave, orlando, FL, 32812, US
ZIP code: 32812
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538521596 2016-03-28 2016-10-17 5332 VAN DYKE RD, LUTZ, FL, 335584829, US 5332 VAN DYKE RD, LUTZ, FL, 335584829, US

Contacts
Phone +1 813-960-1200
Fax 8134417555

Authorized person
Name KY DAU
Role PHYSICIAN ASSISTANT
Phone 8139601200

Taxonomy
Taxonomy Code 363AM0700X - Medical Physician Assistant
License Number PA9109120
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANG WYNN MEDICAL, LLC 401(K) PLAN 2021 474315208 2022-10-17 DANG WYNN MEDICAL, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4076835349
Plan sponsor’s address 4692 S. HOFFNER AVE, ORLANDO, FL, 32812

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing ANNA LE
Valid signature Filed with authorized/valid electronic signature
DANG WYNN MEDICAL, LLC 401(K) PLAN 2020 474315208 2021-10-14 DANG WYNN MEDICAL, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4076835349
Plan sponsor’s address 9942 OAK QUARRY DRIVE, ORLANDO, FL, 32832

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing ANNA LE
Valid signature Filed with authorized/valid electronic signature
DANG WYNN MEDICAL, LLC 401(K) PLAN 2019 474315208 2020-10-15 DANG WYNN MEDICAL, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4076835349
Plan sponsor’s address 9942 OAK QUARRY DRIVE, ORLANDO, FL, 32832

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing ANNA LE
Valid signature Filed with authorized/valid electronic signature
DANG WYNN MEDICAL, LLC 401(K) PLAN 2018 474315208 2019-10-15 DANG WYNN MEDICAL, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4076835349
Plan sponsor’s address 9942 OAK QUARRY DRIVE, ORLANDO, FL, 32832

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing ANNA LE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DANG PATRICK H Agent 4692 hoffner ave, orlando, FL, 32812

Auth

Name Role Address
dang patrick H Auth 4692 hoffner ave, orlando, FL, 32812
dang patrick D Auth 4692 hoffner ave, orlando, FL, 32812

Manager

Name Role Address
Nguyen Thinh Manager 4692 hoffner ave, Orlando, FL, 32812

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-29 4692 hoffner ave, orlando, FL 32812 No data
CHANGE OF MAILING ADDRESS 2024-02-29 4692 hoffner ave, orlando, FL 32812 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-29 4692 hoffner ave, orlando, FL 32812 No data

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-01-19
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-01-23
Florida Limited Liability 2015-06-10

Related by officers

dang patrick H

ORLANDO HEALTH CLINIC LLC PHD VENTURE LLC

DANG PATRICK H

ORLANDO WEIGHT LOSS CLINIC/SPA, LLC UNIVERSAL PRIMARY CARE, LLC VENTURE CAPITAL MERCHANT, LLC PHD BUSINESS PROMOTIONS, INC. AN BANG VENTURE LLC ELEVEN THREE TWO FIVE, LLC PHD INVESTMENT CAPITAL LLC DW LAKE NONA, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated