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  5. MCCAFFREY ORTHODONTICS LLC

MCCAFFREY ORTHODONTICS LLC

Company Details

Entity Name: MCCAFFREY ORTHODONTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jul 2017 (8 years ago)
Document Number: L17000159763
FEI/EIN Number 82-2520199
Address: 6736 FOREST HILL BLVD, WEST PALM BEACH, FL, 33413, US
Mail Address: 6736 FOREST HILL BLVD, WEST PALM BEACH, FL, 33413, US
ZIP code: 33413
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518538164 2021-07-06 2023-05-08 6736 FOREST HILL BLVD., WEST PALM BEACH, FL, 33413, US 6736 FOREST HILL BLVD., WEST PALM BEACH, FL, 33413, US

Contacts
Phone +1 561-964-5200

Authorized person
Name VICENTA REYES
Role CREDENTIALING SENIOR TEAM LEAD
Phone 9728693789

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCCAFFREY ORTHODONTICS, LLC 401(K) RETIREMENT PLAN 2023 822520199 2024-02-07 MCCAFFREY ORTHODONTICS, LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413

Signature of
Role Plan administrator
Date 2024-02-07
Name of individual signing KEVIN P MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS, LLC 401(K) RETIREMENT PLAN 2023 822520199 2024-02-12 MCCAFFREY ORTHODONTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413

Signature of
Role Plan administrator
Date 2024-02-12
Name of individual signing KEVIN P MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS, LLC 401(K) RETIREMENT PLAN 2022 822520199 2023-10-24 MCCAFFREY ORTHODONTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413

Signature of
Role Plan administrator
Date 2023-10-24
Name of individual signing KEVIN P MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS, LLC 401 (K) RETIREMENT PLAN 2022 822520199 2023-10-05 MCCAFFREY ORTHODONTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BLVD, GREENACRES, FL, 334133335

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing KEVIN MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS, LLC 401(K) RETIREMENT PLAN 2021 822520199 2023-10-24 MCCAFFREY ORTHODONTICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413

Signature of
Role Plan administrator
Date 2023-10-24
Name of individual signing KEVIN P MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS, LLC 401(K) RETIREMENT PLAN 2020 822520199 2021-10-04 MCCAFFREY ORTHODONTICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing KEVIN P MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS, LLC 401(K) RETIREMENT PLAN 2019 822520199 2020-09-08 MCCAFFREY ORTHODONTICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5619645200
Plan sponsor’s address 6736 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing KEVIN P MCCAFFREY
Valid signature Filed with authorized/valid electronic signature
MCCAFFREY ORTHODONTICS LLC 401(K) RETIREMENT PLAN 2018 822520199 2019-02-22 MCCAFFREY ORTHODONTICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5613915126
Plan sponsor’s address 6736 FOREST HILL BLVD, WEST PALM BEACH, FL, 33413

Agent

Name Role Address
MCCAFFREY KEVIN Agent 6736 Forest Hill Blvd, West Palm Beach, FL, 33413

Manager

Name Role Address
MCCAFFREY KEVIN Manager 6736 FOREST HILL BLVD, WEST PALM BEACH, FL, 33413

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000043701 WEST PALM BEACH ORTHODONTICS ACTIVE 2022-04-06 2027-12-31 No data 6376 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33413
G17000131280 LUNSFORD MCCAFFREY ORTHODONTICS ACTIVE 2017-12-01 2027-12-31 No data 6736 FOREST HILL BLVD, WEST PALM BEACH, FL, 33413

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-27 6736 Forest Hill Blvd, West Palm Beach, FL 33413 No data
CHANGE OF PRINCIPAL ADDRESS 2018-01-09 6736 FOREST HILL BLVD, WEST PALM BEACH, FL 33413 No data
CHANGE OF MAILING ADDRESS 2018-01-09 6736 FOREST HILL BLVD, WEST PALM BEACH, FL 33413 No data

Documents

Name Date
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-27
Florida Limited Liability 2017-07-26

Related by officers

MCCAFFREY KEVIN

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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