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DANG WYNN MEDICAL, LLC - Florida Company Profile

Company Details

Entity Name: DANG WYNN MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DANG WYNN MEDICAL, 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: 10 Jun 2015 (10 years ago)
Document Number: L15000101075
FEI/EIN Number 47-4315208

Federal Employer Identification (FEI) Number assigned by the IRS.

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

Key Officers & Management

Name Role Address
dang patrick H Auth 4692 hoffner ave, orlando, FL, 32812
dang patrick D Auth 4692 hoffner ave, orlando, FL, 32812
Nguyen Thinh Manager 4692 hoffner ave, Orlando, FL, 32812
DANG PATRICK H Agent 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 -
CHANGE OF MAILING ADDRESS 2024-02-29 4692 hoffner ave, orlando, FL 32812 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-29 4692 hoffner ave, orlando, FL 32812 -

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9107307209 2020-04-28 0491 PPP 9942 OAK QUARRY DR, ORLANDO, FL, 32832-5648
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 203930
Loan Approval Amount (current) 203930
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ORLANDO, ORANGE, FL, 32832-5648
Project Congressional District FL-09
Number of Employees 38
NAICS code 622110
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 205919.02
Forgiveness Paid Date 2021-04-22
7878408504 2021-03-08 0491 PPS 9942 Oak Quarry Dr, Orlando, FL, 32832-5648
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 104049
Loan Approval Amount (current) 104049
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32832-5648
Project Congressional District FL-09
Number of Employees 14
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 104693.25
Forgiveness Paid Date 2021-10-25

Date of last update: 02 Apr 2025

Sources: Florida Department of State