| Entity Name: | ORLICK & KASPER, MDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ORLICK & KASPER, MDS, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Dec 1993 (31 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 27 Aug 2021 (4 years ago) |
| Document Number: | P93000088412 |
| FEI/EIN Number |
593219393
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5800 49TH ST N STE S-109, ST PETERSBURG, FL, 33709, US |
| Mail Address: | 5800 49TH ST N STE S-109, ST PETERSBURG, FL, 33709, US |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982697157 | 2005-08-23 | 2021-10-21 | 5800 49TH ST N, SUITE S-109, ST PETERSBURG, FL, 337092146, US | 5800 49TH ST N, SUITE S-109, ST PETERSBURG, FL, 337092146, US | |||||||||||||||||||||||||||
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| Phone | +1 727-522-1115 |
| Fax | 7275220018 |
Authorized person
| Name | PATRICIA PIERCE |
| Role | BILLING/FRONT OFFICE MANAGER |
| Phone | 7275253649 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE SHIELD GROUP NUMBER |
| Number | 34691 |
| State | FL |
| Issuer | MEDICAID |
| Number | 267330400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORLICK & KASPER MDS PA PROFIT SHARING PLAN | 2023 | 593219393 | 2024-04-02 | ORLICK & KASPER MDS PA | 20 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593219393 |
| Plan administrator’s name | ORLICK & KASPER MDS PA |
| Plan administrator’s address | 5800 49TH STREET NORTH SUITE 109, ST PETERSBURG, FL, 33709 |
| Administrator’s telephone number | 7275221115 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-02 |
| Name of individual signing | MARTIN E ORLICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7275221115 |
| Plan sponsor’s address | 5800 49TH STREET NORTH SUITE 109, ST PETERSBURG, FL, 33709 |
Plan administrator’s name and address
| Administrator’s EIN | 593219393 |
| Plan administrator’s name | ORLICK & KASPER MDS PA |
| Plan administrator’s address | 5800 49TH STREET NORTH SUITE 109, ST PETERSBURG, FL, 33709 |
| Administrator’s telephone number | 7275221115 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-24 |
| Name of individual signing | MARTIN E ORLICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7275221115 |
| Plan sponsor’s address | 5800 49TH STREET NORTH SUITE 109, ST PETERSBURG, FL, 33709 |
Plan administrator’s name and address
| Administrator’s EIN | 593219393 |
| Plan administrator’s name | ORLICK & KASPER MDS PA |
| Plan administrator’s address | 5800 49TH STREET NORTH SUITE 109, ST PETERSBURG, FL, 33709 |
| Administrator’s telephone number | 7275221115 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-19 |
| Name of individual signing | MARTIN E ORLICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ORLICK MARTIN EM.D. | President | 5800 49TH ST N STE S-109, ST PETERSBURG, FL, 33709 |
| KASPER JEFFREY IM.D. | Vice President | 5800 49TH ST N STE S-109, ST PETERSBURG, FL, 33709 |
| PAAS STEVEN E | PRAC | 5800 49TH ST N STE S-109, ST PETERSBURG, FL, 33709 |
| ORLICK MARTIN EM.D. | Agent | 5800 49TH ST N STE S-109, ST PETERSBURG, FL, 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-16 | KASPER, JEFFREY I, M.D. | - |
| NAME CHANGE AMENDMENT | 2021-08-27 | ORLICK & KASPER, MDS, PA | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-20 | 5800 49TH ST N STE S-109, ST PETERSBURG, FL 33709 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-20 | 5800 49TH ST N STE S-109, ST PETERSBURG, FL 33709 | - |
| CHANGE OF MAILING ADDRESS | 2021-08-20 | 5800 49TH ST N STE S-109, ST PETERSBURG, FL 33709 | - |
| AMENDMENT AND NAME CHANGE | 2021-03-18 | ORLICK, KASPER AND PATEL, MD. PA. | - |
| AMENDMENT AND NAME CHANGE | 2013-12-17 | ORLICK,BERGER,KASPER & PATEL,M.D.'S, P.A. | - |
| NAME CHANGE AMENDMENT | 2005-07-27 | ORLICK, BERGER & KASPER, M.D.'S, P.A. | - |
| NAME CHANGE AMENDMENT | 1995-07-19 | ORLICK & BERGER, M.D.'S, P.A. | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2025-01-15 |
| Off/Dir Resignation | 2024-12-10 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-11 |
| Name Change | 2021-08-27 |
| ANNUAL REPORT | 2021-08-20 |
| Amendment and Name Change | 2021-03-18 |
| ANNUAL REPORT | 2020-01-21 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
