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  5. WEST ORANGE COUNTY PEDIATRICS, INC.

WEST ORANGE COUNTY PEDIATRICS, INC.

Company Details

Entity Name: WEST ORANGE COUNTY PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 Jul 1996 (29 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: P96000061136
FEI/EIN Number 593399951
Address: 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822, US
Mail Address: 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822, US
ZIP code: 32822
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912303306 2014-11-12 2014-11-12 7148 CURRY FORD RD, SUITE 200, ORLANDO, FL, 328225803, US 7148 CURRY FORD RD, SUITE 200, ORLANDO, FL, 328225803, US

Contacts
Phone +1 407-273-1357
Fax 4072739028

Authorized person
Name DR. GERARDO M. DURAN
Role PEDIATRICIAN
Phone 4072731357

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number ME0063905
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 379849600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2020 593399951 2021-10-15 WEST ORANGE COUNTY PEDIATRICS, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s address 7148 CURRY FORD ROAD,, STE. 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2020 593399951 2021-10-19 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s address 7148 CURRY FORD ROAD,, STE. 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2019 593399951 2020-10-15 WEST ORANGE COUNTY PEDIATRICS, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s address 7148 CURRY FORD ROAD,, STE. 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2019 593399951 2020-10-19 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s address 7148 CURRY FORD ROAD,, STE. 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2018 593399951 2019-10-15 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s address 7148 CURRY FORD ROAD,, STE. 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2017 593399951 2018-10-15 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s address 7148 CURRY FORD ROAD,, STE. 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2015 593399951 2016-10-17 WEST ORANGE COUNTY PEDIATRICS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072731357
Plan sponsor’s address 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2014 593399951 2015-10-15 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072731357
Plan sponsor’s address 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2013 593399951 2014-07-31 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072731357
Plan sponsor’s address 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822
ORANGE COUNTY PEDIATRICS RETIREMENT & SAVINGS PLAN 2012 593399951 2013-07-30 WEST ORANGE COUNTY PEDIATRICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 4072731357
Plan sponsor’s address 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing GERARDO M. DURAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Koltun Jeffrey M Agent 150 SPARTAN DR, MAITLAND, FL, 32751

President

Name Role Address
Rivera Maria Z President 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL, 32822

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 150 SPARTAN DR, SUITE 100, MAITLAND, FL 32751 No data
REGISTERED AGENT NAME CHANGED 2022-08-31 Koltun, Jeffrey M. No data
CHANGE OF PRINCIPAL ADDRESS 2013-04-29 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL 32822 No data
CHANGE OF MAILING ADDRESS 2013-04-29 7148 CURRY FORD ROAD, SUITE 200, ORLANDO, FL 32822 No data

Documents

Name Date
ANNUAL REPORT 2023-01-23
AMENDED ANNUAL REPORT 2022-08-31
ANNUAL REPORT 2022-05-15
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-22
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6571687305 2020-04-30 0491 PPP 7148 CURRY FORD RD STE 200, ORLANDO, FL, 32822-5803
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 18734
Loan Approval Amount (current) 18734
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address ORLANDO, ORANGE, FL, 32822-5803
Project Congressional District FL-09
Number of Employees 3
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 18892.08
Forgiveness Paid Date 2021-03-10

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Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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