| Entity Name: | ANDRE BAPTISTE, DDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Nov 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Dec 2015 (9 years ago) |
| Document Number: | P08000099459 |
| FEI/EIN Number | 263665985 |
| Address: | 9301 lake Hugh cove ct, Gotha, FL, 34734, US |
| Mail Address: | 9301 lake Hugh cove ct, Gotha, FL, 34734, US |
| ZIP code: | 34734 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861819948 | 2014-03-26 | 2014-03-27 | 7260 W COLONIAL DR, ORLANDO, FL, 328186750, US | 7260 W COLONIAL DR, ORLANDO, FL, 328186750, US | |||||||||||||||||
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| Phone | +1 407-294-1560 |
Authorized person
| Name | DR. ANDRE BAPTISTE |
| Role | ORTHODONTIST |
| Phone | 4072941560 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN15927 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDRE BAPTISTE DDS PA 401(K) PROFIT SHARING PLAN & TRUST | 2021 | 263665985 | 2022-07-22 | ANDRE BAPTISTE DDS PA | 29 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-07-22 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4072172927 |
| Plan sponsor’s address | 8907 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-13 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4072172927 |
| Plan sponsor’s address | 8907 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
Signature of
| Role | Plan administrator |
| Date | 2020-05-01 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BAPTISTE ANDRE B | Agent | 8907 conroy windermere rd, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| BAPTISTE ANDRE B | Director | 9301 lake Hugh cove ct, Gotha, FL, 34734 |
| Name | Role | Address |
|---|---|---|
| BAPTISTE ANDRE B | President | 9301 lake Hugh cove ct, Gotha, FL, 34734 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000142812 | BAPTISTE DENTISTRY FOR KIDS | ACTIVE | 2020-11-05 | 2025-12-31 | No data | 9301 LAKE HUGH COVE CT, GOTHA, FL, 34734 |
| G12000018728 | BAPTISTE ORTHODONTICS | EXPIRED | 2012-02-23 | 2017-12-31 | No data | BAPTISTE ORTHODONTICS, 8907 CONROY WINDERMERE RD, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-14 | 9301 lake Hugh cove ct, Gotha, FL 34734 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-14 | 9301 lake Hugh cove ct, Gotha, FL 34734 | No data |
| REINSTATEMENT | 2015-12-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-21 | BAPTISTE, ANDRE B | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-12-21 | 8907 conroy windermere rd, ORLANDO, FL 32835 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-14 |
| REINSTATEMENT | 2015-12-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
