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  5. WOODFIN ORTHODONTICS, P.A.

WOODFIN ORTHODONTICS, P.A.

Company Details

Entity Name: WOODFIN ORTHODONTICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jun 1996 (29 years ago)
Document Number: P96000053575
FEI/EIN Number 593391284
Address: 4857 NORTH 9TH AVENUE, PENSACOLA, FL, 32503
Mail Address: 4857 NORTH 9TH AVENUE, PENSACOLA, FL, 32503
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912057050 2007-01-11 2012-01-11 4857 N 9TH AVE, PENSACOLA, FL, 325032446, US 4857 N 9TH AVE, PENSACOLA, FL, 325032446, US

Contacts
Phone +1 850-477-2180
Fax 8504846447

Authorized person
Name DR. GREGORY K WOODFIN
Role OWNER
Phone 8504772180

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DN0009780
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2023 593391284 2024-06-28 WOODFIN ORTHODONTICS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing JAMES HOLLAND
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2022 593391284 2023-08-04 WOODFIN ORTHODONTICS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2023-08-04
Name of individual signing JAMES HOLLAND
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2021 593391284 2022-04-08 WOODFIN ORTHODONTICS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2020 593391284 2021-07-08 WOODFIN ORTHODONTICS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2019 593391284 2020-04-28 WOODFIN ORTHODONTICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2018 593391284 2019-09-10 WOODFIN ORTHODONTICS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2019-09-10
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P. A. EMPLOYEES PROFIT SHARING AND TRUST 2017 593391284 2018-10-12 WOODFIN ORTHODONTICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P.A. EMPLOYEES PROFIT SHARING AND TRUST 2016 593391284 2017-07-24 WOODFIN ORTHODONTICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P.A. EMPLOYEES PROFIT SHARING AND TRUST 2015 593391284 2016-07-11 WOODFIN ORTHODONTICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature
WOODFIN ORTHODONTICS, P.A. EMPLOYEES PROFIT SHARING AND TRUST 2014 593391284 2015-07-28 WOODFIN ORTHODONTICS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8504772180
Plan sponsor’s address 4857 N. 9TH AVENUE, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing GREGORY K. WOODFIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WOODFIN GREGORY K Agent 4857 NORTH 9TH AVENUE, PENSACOLA, FL, 32503

Director

Name Role Address
WOODFIN GREGORY K Director 4857 NORTH 9TH AVENUE, PENSACOLA, FL, 32503
CABASSA SALVATORE R Director 4857 N 9TH AVE, PENSACOLA, FL, 32503

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-01-23

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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