| Entity Name: | JUAN C YORDAN MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 May 2015 (10 years ago) |
| Document Number: | P15000043360 |
| FEI/EIN Number | 47-4015340 |
| Address: | 929 NORTH US HWY 441, SUITE 601, LADY LAKE, FL 32159 |
| Mail Address: | PO Box 3667, BELLEVIEW, FL 34421 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184094690 | 2015-09-28 | 2018-03-17 | PO BOX 3667, BELLEVIEW, FL, 344213667, US | 929 N US HIGHWAY 441 STE 102, LADY LAKE, FL, 321593002, US | |||||||||||||||||||
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| Phone | +1 352-633-0473 |
| Fax | 3527759562 |
Authorized person
| Name | JUAN CARLOS YORDAN |
| Role | MD |
| Phone | 3526330473 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME98478 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JUAN C YORDAN, MD 401(K) PLAN | 2023 | 474015340 | 2024-07-23 | JUAN C YORDAN MD PA | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3526330473 |
| Plan sponsor’s address | 929 N US HIGHWAY 441/27 STE 601, LADY LAKE, FL, 32159 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| YORDAN, JUAN C | Agent | 929 NORTH US HWY 441, SUITE 601, LADY LAKE, FL 32159 |
| Name | Role | Address |
|---|---|---|
| YORDAN, JUAN C | Director | PO Box 3667, BELLEVIEW, FL 34421 |
| Name | Role | Address |
|---|---|---|
| YORDAN, JUAN C | President | PO Box 3667, BELLEVIEW, FL 34421 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-19 | 929 NORTH US HWY 441, SUITE 601, LADY LAKE, FL 32159 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-19 | 929 NORTH US HWY 441, SUITE 601, LADY LAKE, FL 32159 | No data |
| CHANGE OF MAILING ADDRESS | 2016-07-09 | 929 NORTH US HWY 441, SUITE 601, LADY LAKE, FL 32159 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-07-01 |
| ANNUAL REPORT | 2016-07-09 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
