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  5. SANTIAGO W. CALDERON, MD, PA

SANTIAGO W. CALDERON, MD, PA

Company Details

Entity Name: SANTIAGO W. CALDERON, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jul 2008 (17 years ago)
Document Number: P08000070464
FEI/EIN Number 263066845
Address: 4916 San Marino Cir, LAKE MARY, FL, 32746, US
Mail Address: 4916 San Marino Cir, LAKE MARY, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497037030 2011-09-09 2011-09-09 4916 SAN MARINO CIR, LAKE MARY, FL, 327462608, US 1668 S VOLUSIA AVE, ORANGE CITY, FL, 327637335, US

Contacts
Phone +1 407-268-5415
Phone +1 386-668-0200

Authorized person
Name DR. SANTIAGO W CALDERON
Role PREDISENT
Phone 4072685415

Taxonomy
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number ME0070874
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2023 263066845 2024-09-16 SANTIAGO W. CALDERON, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2022 263066845 2023-05-25 SANTIAGO W. CALDERON, MD, PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2021 263066845 2022-07-08 SANTIAGO W. CALDERON, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2020 263066845 2021-07-30 SANTIAGO W. CALDERON, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2019 263066845 2020-07-07 SANTIAGO W. CALDERON, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2018 263066845 2019-05-20 SANTIAGO W. CALDERON, MD, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2017 263066845 2018-09-13 SANTIAGO W. CALDERON, MD, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2016 263066845 2017-11-16 SANTIAGO W. CALDERON, MD, PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2015 263066845 2016-09-19 SANTIAGO W. CALDERON, MD, PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608
SANTIAGO W. CALDERON, MD, PA 401(K) PLAN 2014 263066845 2015-09-14 SANTIAGO W. CALDERON, MD, PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862280661
Plan sponsor’s address 4916 SAN MARINO CIRCLE, LAKE MARY, FL, 327462608

Agent

Name Role Address
CALDERON SANTIAGO W Agent 1668 S. VOLUSIA AVENUE, ORANGE CITY, FL, 32763

President

Name Role Address
CALDERON SANTIAGO W President 4916 San Marino Cir, LAKE MARY, FL, 32746

Secretary

Name Role Address
CALDERON SANTIAGO W Secretary 4916 San Marino Cir, LAKE MARY, FL, 32746

Treasurer

Name Role Address
CALDERON SANTIAGO W Treasurer 4916 San Marino Cir, LAKE MARY, FL, 32746

Director

Name Role Address
CALDERON SANTIAGO W Director 4916 San Marino Cir, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-04-29 4916 San Marino Cir, LAKE MARY, FL 32746 No data
CHANGE OF MAILING ADDRESS 2013-04-29 4916 San Marino Cir, LAKE MARY, FL 32746 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-10 1668 S. VOLUSIA AVENUE, ORANGE CITY, FL 32763 No data
REGISTERED AGENT NAME CHANGED 2009-04-17 CALDERON, SANTIAGO WPRES No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-16
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-22

Related by officers

CALDERON SANTIAGO W

SANTIAGO W. CALDERON FAMILY LIMITED PARTNERSHIP CHRISTEPH OF BERMUDA GROVE, INC. SANTA ROSA DE LIMA MEDICAL, P.A.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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