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  5. PINERO PREVENTIVE MEDICAL CARE PA

PINERO PREVENTIVE MEDICAL CARE PA

Company Details

Entity Name: PINERO PREVENTIVE MEDICAL CARE PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Jan 2006 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Mar 2011 (14 years ago)
Document Number: P06000003383
FEI/EIN Number 204098320
Address: 2766 E. Colonial Drive, ORLANDO, FL, 32803, US
Mail Address: 2766 E. Colonial Drive, ORLANDO, FL, 32803, US
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902871825 2006-02-22 2022-09-26 2766 E. COLONIAL DRIVE, ORLANDO, FL, 328035025, US 2766 E. COLONIAL DRIVE, ORLANDO, FL, 328035025, US

Contacts
Phone +1 407-426-9693
Fax 4074269694

Authorized person
Name MR. DENNIS WAYNE DUNHAM
Role OFFICE ADMINISTRATOR
Phone 4074269693

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINERO PREVENTIVE MEDICAL CARE, P.A. 401(K) PROFIT SHARING PLAN 2023 204098320 2024-07-09 PINERO PREVENTIVE MEDICAL CARE PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621510
Sponsor’s telephone number 4074269693
Plan sponsor’s address 2766 E. COLONIAL DR., ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing DENNIS DUNHAM
Valid signature Filed with authorized/valid electronic signature
PINERO PREVENTIVE MEDICAL CARE, P.A. 401(K) PROFIT SHARING PLAN 2022 204098320 2023-07-24 PINERO PREVENTIVE MEDICAL CARE PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621510
Sponsor’s telephone number 4074269693
Plan sponsor’s address 2766 E. COLONIAL DR., ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing DENNIS DUNHAM
Valid signature Filed with authorized/valid electronic signature
PINERO PREVENTIVE MEDICAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2021 204098320 2022-07-05 PINERO PREVENTIVE MEDICAL CARE PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621510
Sponsor’s telephone number 4074269693
Plan sponsor’s address 1720 SOUTH ORANGE AVENUE SUITE 200, ORLANDO, FL, 32806

Signature of
Role Plan administrator
Date 2022-07-05
Name of individual signing DENNIS DUNHAM
Valid signature Filed with authorized/valid electronic signature
PINERO PREVENTIVE MEDICAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2020 204098320 2021-06-15 PINERO PREVENTIVE MEDICAL CARE PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621510
Sponsor’s telephone number 4074269693
Plan sponsor’s address 1720 SOUTH ORANGE AVENUE SUITE 200, ORLANDO, FL, 32806

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing DENNIS DUNHAM
Valid signature Filed with authorized/valid electronic signature
PINERO PREVENTIVE MEDICAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 204098320 2020-07-17 PINERO PREVENTIVE MEDICAL CARE PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 4074269693
Plan sponsor’s address 1720 SOUTH ORANGE AVENUE SUITE 200, ORLANDO, FL, 32806

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing DENNIS DUNHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PINERO RAFAEL E Agent 1216 N HAMPTON AVENUE, ORLANDO, FL, 32803

President

Name Role Address
PINERO RAFAEL E President 1216 N HAMPTON AVENUE, ORLANDO, FL, 32803

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-09-12 2766 E. Colonial Drive, ORLANDO, FL 32803 No data
CHANGE OF MAILING ADDRESS 2022-09-12 2766 E. Colonial Drive, ORLANDO, FL 32803 No data
REINSTATEMENT 2011-03-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-02-25
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-05-23
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3160308708 2021-03-30 0491 PPS 1720 S Orange Ave Ste 200, Orlando, FL, 32806-2932
Loan Status Date 2022-05-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 184017
Loan Approval Amount (current) 184017
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32806-2932
Project Congressional District FL-10
Number of Employees 16
NAICS code 621111
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 185842.05
Forgiveness Paid Date 2022-03-31

Related by officers

No related officers

Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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