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  5. SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC.

SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC.

Company Details

Entity Name: SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Apr 2001 (24 years ago)
Document Number: P01000039863
FEI/EIN Number 593711921
Address: 10000 WEST COLONIAL DR, SUITE 495, OCOEE, FL, 34761
Mail Address: 10000 WEST COLONIAL DR, SUITE 495, OCOEE, FL, 34761
ZIP code: 34761
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396842753 2006-09-20 2008-05-07 10000 W COLONIAL DR, SUITE 495, OCOEE, FL, 347613436, US 10000 W COLONIAL DR, SUITE 495, OCOEE, FL, 347613436, US

Contacts
Phone +1 407-293-5944
Fax 4072937355

Authorized person
Name JOHN DAVID HOROWITZ
Role PRESIDENT
Phone 4072935944

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number ME64803
State FL
Is Primary Yes

Other Provider Identifiers
Issuer RAIL ROAD MEDICARE GROUP
Number 020050264
State FL
Issuer BCBS GROUP NUMBER
Number 74596
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. CASH BALANCE PENSION PLAN 2023 593711921 2024-09-05 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 401(K) PLAN 2023 593711921 2024-09-05 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 401(K) PLAN 2022 593711921 2023-09-21 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. CASH BALANCE PENSION PLAN 2022 593711921 2023-10-16 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. CASH BALANCE PENSION PLAN 2022 593711921 2023-10-16 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. No data
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 401(K) PLAN 2021 593711921 2022-09-13 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. CASH BALANCE PENSION PLAN 2021 593711921 2022-09-18 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Signature of
Role Plan administrator
Date 2022-09-18
Name of individual signing DONNA LONG
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. CASH BALANCE PENSION PLAN 2020 593711921 2022-05-19 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 401(K) PLAN 2020 593711921 2022-09-12 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761
SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 401(K) PLAN 2020 593711921 2021-10-11 SURGICAL SPECIALISTS OF CENTRAL FLORIDA, INC. 39
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072935944
Plan sponsor’s address 10000 W. COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Agent

Name Role Address
HOROWITZ JOHN D Agent 10000 WEST COLONIAL DR, OCOEE, FL, 34761

President

Name Role Address
HOROWITZ JOHN D President 10000 WEST COLONIAL DR, OCOEE, FL, 34761

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000028039 NEW START WELLNESS CENTER EXPIRED 2012-03-21 2017-12-31 No data 10000 WEST COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761
G05332700183 CENTRAL FLORIDA VEIN AND VASCULAR CENTER ACTIVE 2005-11-28 2025-12-31 No data 10000 WEST COLONIAL DRIVE, SUITE 495, OCOEE, FL, 34761

Events

Event Type Filed Date Value Description
REINSTATEMENT 2004-01-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data

Related by officers

HOROWITZ JOHN D

M & M FUTURES, LLC

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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