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  5. ADVANCED ORTHOPEDICS INSTITUTE, P.A.

ADVANCED ORTHOPEDICS INSTITUTE, P.A.

Company Details

Entity Name: ADVANCED ORTHOPEDICS INSTITUTE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Oct 2016 (8 years ago)
Last Event: AMENDMENT
Event Date Filed: 28 Nov 2016 (8 years ago)
Document Number: P16000086309
FEI/EIN Number 81-4334935
Address: 1400 US Highway 441 North, The Villages, FL, 32159, US
Mail Address: 1400 US Highway 441 North, The Villages, FL, 32159, US
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134661309 2016-11-04 2023-10-09 1400 N US HIGHWAY 441 STE 552, THE VILLAGES, FL, 321598987, US 1400 N US HIGHWAY 441, SHARON MORSE MEDICAL OFFICE BUILDING, SUITE 552, THE VILLAGES, FL, 321598975, US

Contacts
Phone +1 352-751-2862
Fax 3527515541

Authorized person
Name JOHN T WILLIAMS JR.
Role PRESIDENT/PHYSICIAN/PARTNER
Phone 2156961283

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME109839
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 002036900
State FL
Issuer NPPES
Number 1861650145
Issuer MEDICAID
Number 003708700
State FL
Issuer NPPES
Number 1790745164

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 401(K) PLAN 2023 814334935 2024-07-30 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 401(K) PLAN 2022 814334935 2023-10-16 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 401(K) PLAN 2021 814334935 2022-10-14 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 2020 814334935 2021-10-13 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 2019 814334935 2020-10-15 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 19
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 2019 814334935 2020-10-22 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000
ADVANCED ORTHOPEDICS INSTITUTE, P.A. 2018 814334935 2019-09-23 ADVANCED ORTHOPEDICS INSTITUTE, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3527512862
Plan sponsor’s address 1400 US HIGHWAY 441 NORTH, SUITE 55, THE VILLAGES, FL, 321590000

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing MICHELE GENTLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-23
Name of individual signing MICHELE GENTLES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
A. ANTHONY GIOVANOLI, P.A. Agent

President

Name Role Address
WILLIAMS JOHN TJR, MD President 1400 US Highway 441 North, The Villages, FL, 32159

Secretary

Name Role Address
WILLIAMS JOHN TJR, MD Secretary 1400 US Highway 441 North, The Villages, FL, 32159

Vice President

Name Role Address
COOK ALFRED JJR, MD Vice President 1400 US Highway 441 North, The Villages, FL, 32159

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-02-03 1400 US Highway 441 North, Suite 552, The Villages, FL 32159 No data
CHANGE OF MAILING ADDRESS 2017-02-03 1400 US Highway 441 North, Suite 552, The Villages, FL 32159 No data
AMENDMENT 2016-11-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-02-03
Amendment 2016-11-28
Domestic Profit 2016-10-25

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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