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  5. DUBY AVILA M.D. P.A.

DUBY AVILA M.D. P.A.

Company Details

Entity Name: DUBY AVILA M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jul 2003 (22 years ago)
Document Number: P03000082373
FEI/EIN Number 550841436
Address: 1111 N CENTRAL AVE, A-B, KISSIMMEE, FL, 34741
Mail Address: 1111 N CENTRAL AVE, A-B, KISSIMMEE, FL, 34741
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477742740 2007-10-23 2021-06-22 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405, US 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405, US

Contacts
Phone +1 407-846-6040
Fax 4078469540

Authorized person
Name DR. DUBY EDITH AVILA
Role PRESIDENT
Phone 4078466040

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME85055
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2023 550841436 2024-06-24 DUBY AVILA, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing DUBY AVILA
Valid signature Filed with authorized/valid electronic signature
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2022 550841436 2023-06-27 DUBY AVILA, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing DUBY AVILA
Valid signature Filed with authorized/valid electronic signature
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2021 550841436 2022-06-21 DUBY AVILA, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing DUBY AVILA
Valid signature Filed with authorized/valid electronic signature
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2020 550841436 2021-04-21 DUBY AVILA, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing DUBY AVILA
Valid signature Filed with authorized/valid electronic signature
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2019 550841436 2020-05-14 DUBY AVILA, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing ADRIANA C JARAMILLO
Valid signature Filed with authorized/valid electronic signature
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2018 550841436 2019-07-24 DUBY AVILA, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing ADRIANA C JARAMILLO
Valid signature Filed with authorized/valid electronic signature
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 550841436 2018-06-13 DUBY AVILA, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405
DUBY AVILA, M.D., P.A. 401(K) PROFIT SHARING PLAN 401(K) 2016 550841436 2017-08-14 DUBY AVILA, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4078466040
Plan sponsor’s address 1111 N CENTRAL AVE, KISSIMMEE, FL, 347414405

Agent

Name Role Address
AVILA DUBY Agent 1111 N CENTRAL AVE, KISSIMMEE, FL, 34741

Director

Name Role Address
AVILA DUBY Director 1111 N CENTRAL AVE STE A-B, KISSIMMEE, FL, 34741

President

Name Role Address
AVILA DUBY President 1111 N CENTRAL AVE STE A-B, KISSIMMEE, FL, 34741

Treasurer

Name Role Address
AVILA DUBY Treasurer 1111 N CENTRAL AVE STE A-B, KISSIMMEE, FL, 34741

Secretary

Name Role Address
AVILA DUBY Secretary 1111 N CENTRAL AVE STE A-B, KISSIMMEE, FL, 34741

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000048177 OSCEOLA PAIN & REHABILITATION CENTER ACTIVE 2012-05-24 2027-12-31 No data 1111 N CENTRAL AVE, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-04-03 1111 N CENTRAL AVE, A-B, KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2007-04-03 1111 N CENTRAL AVE, A-B, KISSIMMEE, FL 34741 No data
REGISTERED AGENT ADDRESS CHANGED 2007-04-03 1111 N CENTRAL AVE, A-B, KISSIMMEE, FL 34741 No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-04
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-18

Related by officers

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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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