| Entity Name: | ORLANDO ORTHODONTICS CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Nov 2015 (9 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 13 Mar 2017 (8 years ago) |
| Document Number: | P15000090672 |
| FEI/EIN Number | 30-0890578 |
| Address: | 1525 W. COLONIAL DR, ORLANDO, FL, 32804, US |
| Mail Address: | 1525 W. COLONIAL DR, ORLANDO, FL, 32804, US |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861851230 | 2016-02-15 | 2023-08-10 | 1525 W COLONIAL DR, ORLANDO, FL, 328047120, US | 371 CALLIOPE ST, OCOEE, FL, 347614631, US | |||||||||||||||||||||||||
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| Phone | +1 407-990-3111 |
| Phone | +1 954-661-6208 |
Authorized person
| Name | DR. JAMES DUYHIEN NGUYEN |
| Role | PRESIDENT |
| Phone | 9546616208 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN18332 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000133600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORLANDO ORTHODONTICS 401(K) PLAN | 2023 | 300890578 | 2024-09-19 | ORLANDO ORTHODONTICS CORP | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-19 |
| Name of individual signing | JAMES NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4079903111 |
| Plan sponsor’s address | 1525 W COLONIAL DR, ORLANDO, FL, 32804 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-02 |
| Name of individual signing | JAMES NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4079903111 |
| Plan sponsor’s address | 1525 W COLONIAL DR, ORLANDO, FL, 32804 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-23 |
| Name of individual signing | JAMES NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4079903111 |
| Plan sponsor’s address | 1525 W COLONIAL DR, ORLANDO, FL, 32804 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-08 |
| Name of individual signing | JAMES NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| NGUYEN JAMES D | Agent | 1525 W. COLONIAL DR, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| NGUYEN JAMES D | President | 1525 W. COLONIAL DR, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-06 | 1525 W. COLONIAL DR, ORLANDO, FL 32804 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-06 | 1525 W. COLONIAL DR, ORLANDO, FL 32804 | No data |
| NAME CHANGE AMENDMENT | 2017-03-13 | ORLANDO ORTHODONTICS CORP. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-24 | 1525 W. COLONIAL DR, ORLANDO, FL 32804 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-30 |
| Name Change | 2017-03-13 |
| ANNUAL REPORT | 2016-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
