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  5. BUENA VISTA FAMILY DENTISTRY, PLLC

BUENA VISTA FAMILY DENTISTRY, PLLC

Company Details

Entity Name: BUENA VISTA FAMILY DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Feb 2017 (8 years ago)
Document Number: L17000039176
FEI/EIN Number 81-5438391
Address: 11444 S. APOPKA VINELAND RD, #101, ORLANDO, FL, 32836, US
Mail Address: 7908 GLEN CREST WAY, ORLANDO, FL, 32836
ZIP code: 32836
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992529861 2024-11-08 2024-11-08 11444 S APOPKA VINELAND RD UNIT 101, ORLANDO, FL, 328367009, US 11444 S APOPKA VINELAND RD UNIT 101, ORLANDO, FL, 328367009, US

Contacts
Phone +1 407-930-0060
Fax 4079554888

Authorized person
Name XIMENA ALDEA
Role DENTIST/PRESIDENT
Phone 4077488290

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUENA VISTA FAMILY DENTISTRY 401(K) PLAN & TRUST 2023 815438391 2024-09-05 BUENA VISTA FAMILY DENTISTRY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4079300060
Plan sponsor’s address 11444 S. APOPKA VINELAND RD., SUITE 101, ORLANDO, FL, 32836

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing XIMENA ALDEA
Valid signature Filed with authorized/valid electronic signature
BUENA VISTA FAMILY DENTISTRY 401(K) PLAN & TRUST 2022 815438391 2023-06-29 BUENA VISTA FAMILY DENTISTRY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4079300060
Plan sponsor’s address 11444 S. APOPKA VINELAND RD., SUITE 101, ORLANDO, FL, 32836
BUENA VISTA FAMILY DENTISTRY 401(K) PLAN & TRUST 2021 815438391 2022-06-22 BUENA VISTA FAMILY DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4079300060
Plan sponsor’s address 11444 S. APOPKA VINELAND ROAD, STE 101, ORLANDO, FL, 32836
BUENA VISTA FAMILY DENTISTRY 401(K) PLAN & TRUST 2020 815438391 2021-09-16 BUENA VISTA FAMILY DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4079300060
Plan sponsor’s address 11444 S. APOPKA VINELAND ROAD, STE 101, ORLANDO, FL, 32836
BUENA VISTA FAMILY DENTISTRY 401(K) PLAN & TRUST 2019 815438391 2020-07-06 BUENA VISTA FAMILY DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4079300060
Plan sponsor’s address 11444 S. APOPKA VINELAND ROAD, STE 101, ORLANDO, FL, 32836

Agent

Name Role Address
ALDEA XIMENA Agent 7908 GLEN CREST WAY, ORLANDO, FL, 32836

Authorized Member

Name Role Address
ALDEA XIMENA Authorized Member 7908 GLEN CREST WAY, ORLANDO, FL, 32836

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-09 11444 S. APOPKA VINELAND RD, #101, ORLANDO, FL 32836 No data

Documents

Name Date
ANNUAL REPORT 2024-03-09
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-01-17
Florida Limited Liability 2017-02-20

Related by officers

ALDEA XIMENA

WAZURU INC. ARCO RE HOLDINGS LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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