Search icon

VASCULAR CENTER OF ORLANDO, P.A. - Florida Company Profile

Company Details

Entity Name: VASCULAR CENTER OF ORLANDO, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

VASCULAR CENTER OF ORLANDO, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: 25 May 2001 (24 years ago)
Document Number: P01000054525
FEI/EIN Number 593722569

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

Address: 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
Mail Address: 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
ZIP code: 32804
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255331666 2005-07-28 2012-10-10 1200 EDGEWATER DR, ORLANDO, FL, 328046314, US 1200 EDGEWATER DR, ORLANDO, FL, 328046314, US

Contacts

Phone +1 407-244-8559
Fax 4072448560

Authorized person

Name SAMUEL PRESTON MARTIN IV
Role OWNER
Phone 4072448559

Taxonomy

Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number ME31846
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 037049500
State FL
Issuer CHAMPUS
Number 060065287
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VVC PROFIT SHARING PLAN 2023 593722569 2024-09-17 VASCULAR CENTER OF ORLANDO, P.A. 42
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC DEFINED BENEFIT PENSION PLAN 2022 593722569 2023-05-30 VASCULAR CENTER OF ORLANDO, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC PROFIT SHARING PLAN 2022 593722569 2023-07-28 VASCULAR CENTER OF ORLANDO, P.A. 47
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC PROFIT SHARING PLAN 2021 593722569 2022-06-27 VASCULAR CENTER OF ORLANDO, P.A. 49
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DR, ORLANDO, FL, 32804
VVC DEFINED BENEFIT PENSION PLAN 2021 593722569 2022-09-06 VASCULAR CENTER OF ORLANDO, P.A. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC DEFINED BENEFIT PENSION PLAN 2020 593722569 2021-10-19 VASCULAR CENTER OF ORLANDO, P.A. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC PROFIT SHARING PLAN 2020 593722569 2021-07-22 VASCULAR CENTER OF ORLANDO, P.A. 52
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DR, ORLANDO, FL, 32804
VVC DEFINED BENEFIT PENSION PLAN 2020 593722569 2021-10-12 VASCULAR CENTER OF ORLANDO, P.A. 58
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC DEFINED BENEFIT PENSION PLAN 2019 593722569 2020-10-15 VASCULAR CENTER OF ORLANDO, P.A. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
VVC PROFIT SHARING PLAN 2019 593722569 2020-09-24 VASCULAR CENTER OF ORLANDO, P.A. 49
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4072448559
Plan sponsor’s address 1200 EDGEWATER DR, ORLANDO, FL, 32804

Key Officers & Management

Name Role Address
SAMUEL MARTIN P Director 1200 Edgewater Drive, ORLANDO, FL, 32804
MARTIN SAMUEL M Agent 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000030661 DOC'S SOCKS 'N SKINCARE EXPIRED 2012-03-29 2017-12-31 - 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804
G12000030652 VASCULAR VEIN CENTERS ACTIVE 2012-03-29 2028-12-31 - 1200 EDGEWATER DRIVE, ORLANDO, FL, 32804

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-03-20 1200 EDGEWATER DRIVE, ORLANDO, FL 32804 -
CHANGE OF MAILING ADDRESS 2012-03-20 1200 EDGEWATER DRIVE, ORLANDO, FL 32804 -
REGISTERED AGENT ADDRESS CHANGED 2012-03-20 1200 EDGEWATER DRIVE, ORLANDO, FL 32804 -
REGISTERED AGENT NAME CHANGED 2007-02-22 MARTIN, SAMUEL M.D. -

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-03-30
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4252777301 2020-04-29 0491 PPP 1200 Edgewater Drive, Orlando, FL, 32804-6314
Loan Status Date 2020-06-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 434100
Loan Approval Amount (current) 322400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58771
Servicing Lender Name Legacy Bank
Servicing Lender Address 101 W Main St, HINTON, OK, 73047
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32804-6314
Project Congressional District FL-10
Number of Employees 27
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 58771
Originating Lender Name Legacy Bank
Originating Lender Address HINTON, OK
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 326188.2
Forgiveness Paid Date 2021-07-06

Date of last update: 02 Mar 2025

Sources: Florida Department of State