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SEAN MCFADDEN, D.O., P.A.

Company Details

Entity Name: SEAN MCFADDEN, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Sep 2004 (20 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P04000134522
FEI/EIN Number 611476739
Address: 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822
Mail Address: 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822
ZIP code: 32822
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699961615 2007-09-24 2007-09-24 7975 LAKE UNDERHILL RD, SUITE 330, ORLANDO, FL, 328228202, US 7975 LAKE UNDERHILL RD, SUITE 330, ORLANDO, FL, 328228202, US

Contacts

Phone +1 407-381-8441
Fax 4073818557

Authorized person

Name DR. SEAN MICHAEL MCFADDEN
Role ORTHOPEDIC SURGEON
Phone 4073818441

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number OS8094
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE GROUP
Number K6858
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF SEAN MCFADDEN, D.O., P.A. 2011 611476739 2012-10-12 SEAN MCFADDEN, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822

Plan administrator’s name and address

Administrator’s EIN 611476739
Plan administrator’s name SEAN MCFADDEN, D.O., P.A.
Plan administrator’s address 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822
Administrator’s telephone number 4075995900

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing SEAN MCFADDEN, D.O.
Valid signature Filed with authorized/valid electronic signature
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF SEAN MCFADDEN, D.O., P.A. 2010 611476739 2011-10-06 SEAN MCFADDEN, D.O., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822

Plan administrator’s name and address

Administrator’s EIN 611476739
Plan administrator’s name SEAN MCFADDEN, D.O., P.A.
Plan administrator’s address 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822
Administrator’s telephone number 4075995900

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing SEAN MCFADDEN, D.O.
Valid signature Filed with authorized/valid electronic signature
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF SEAN MCFADDEN, D.O., P.A. 2009 611476739 2010-10-12 SEAN MCFADDEN, D.O., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822

Plan administrator’s name and address

Administrator’s EIN 611476739
Plan administrator’s name SEAN MCFADDEN, D.O., P.A.
Plan administrator’s address 7975 LAKE UNDERHILL ROAD, SUITE 330, ORLANDO, FL, 32822
Administrator’s telephone number 4075995900

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing SEAN MCFADDEN, D.O.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MCFADDEN SEAN D Agent 7975 LAKE UNDERHILL ROAD, ORLANDO, FL, 32822

Director

Name Role Address
MCFADDEN SEAN D Director 7975 LAKE UNDERHILL ROAD SUITE 330, ORLANDO, FL, 32822

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2012-04-23
ANNUAL REPORT 2011-04-26
ANNUAL REPORT 2010-04-21
ANNUAL REPORT 2009-03-26
ANNUAL REPORT 2008-05-02
ANNUAL REPORT 2007-04-30
ANNUAL REPORT 2006-04-10
ANNUAL REPORT 2005-06-06
Domestic Profit 2004-09-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State