| Entity Name: | MANOOGIAN ORTHOPEDIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Aug 2001 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 20 Sep 2018 (6 years ago) |
| Document Number: | P01000078406 |
| FEI/EIN Number | 593736719 |
| Address: | 1945 BAY ROAD, MOUNT DORA, FL, 32757 |
| Mail Address: | 1945 BAY ROAD, MOUNT DORA, FL, 32757 |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205945763 | 2006-08-29 | 2019-02-19 | 1945 BAY RD, MOUNT DORA, FL, 327572105, US | 1945 BAY RD, MOUNT DORA, FL, 32757, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-483-5633 |
| Fax | 3524835070 |
Authorized person
| Name | DR. VREJ K MANOOGIAN |
| Role | PRESIDENT |
| Phone | 3524835633 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE GURU |
| Number | P00260225 |
| State | FL |
| Issuer | RAILROAD MEDICARE GROUP |
| Number | DD9204 |
| State | FL |
| Issuer | BCBSFL SAMIR GURU, D.O. |
| Number | 16714 |
| State | FL |
| Issuer | RAILROAD MEDICARE MANOOGI |
| Number | 200041567 |
| State | FL |
| Issuer | BCBSFL VREJ MANOOGIAN, D. |
| Number | 46883 |
| State | FL |
| Issuer | BCBSFL GROUP |
| Number | 94957 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MANOOGIAN ORTHOPEDIC CENTER, P.A. 401(K) PLAN | 2019 | 593736719 | 2021-11-11 | MANOOGIAN ORTHOPEDIC CENTER, P.A. | 15 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-11-11 |
| Name of individual signing | DARRELL CASON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3524835633 |
| Plan sponsor’s address | 1945 BAY ROAD, MOUNT DORA, FL, 32757 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-08 |
| Name of individual signing | VREJ MANOOGIAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-08 |
| Name of individual signing | VREJ MANOOGIAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RIMES JASON S | Agent | 215 N. EOLA DRIVE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| MANOOGIAN, D.O. VREJ K | President | 1945 BAY ROAD, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| MANOOGIAN, D.O. VREJ K | Treasurer | 1945 BAY ROAD, MOUNT DORA, FL, 32757 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000061356 | MANOOGIAN KYPHOPLASTY CENTER | ACTIVE | 2021-05-04 | 2026-12-31 | No data | 1945 BAY ROAD, MT. DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-17 | RIMES, JASON S | No data |
| NAME CHANGE AMENDMENT | 2018-09-20 | MANOOGIAN ORTHOPEDIC CENTER, P.A. | No data |
| NAME CHANGE AMENDMENT | 2007-01-12 | MANOOGIAN GURU ORTHOPEDIC CENTER, P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-30 | 1945 BAY ROAD, MOUNT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2002-04-30 | 1945 BAY ROAD, MOUNT DORA, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-07 |
| Name Change | 2018-09-20 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
