Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Volusia
    4. ›
  4. 32763
    5. ›
  5. NORTH ORLANDO SURGICAL GROUP, INC.

NORTH ORLANDO SURGICAL GROUP, INC.

Company Details

Entity Name: NORTH ORLANDO SURGICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Dec 1997 (27 years ago)
Document Number: P97000106470
FEI/EIN Number 59-3480199
Address: 2864 Wellness Avenue, Suite 200, ORANGE CITY, FL 32763
Mail Address: 2864 Wellness Avenue, Suite 200, ORANGE CITY, FL 32763
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801843263 2006-05-30 2020-08-22 1061 MEDICAL CENTER DR, SUITE 305, ORANGE CITY, FL, 327638200, US 1061 MEDICAL CENTER DR, SUITE 305, ORANGE CITY, FL, 327638200, US

Contacts
Phone +1 386-775-0333
Fax 3867750427

Authorized person
Name DR. JEREMY D STEINBAUM
Role PRESIDENT
Phone 3867750333

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer AETNA
Number 2626230
State FL
Issuer BCBS
Number 34654
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2023 593480199 2024-12-10 NORTH ORLANDO SURGICAL GROUP, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2022 593480199 2023-09-14 NORTH ORLANDO SURGICAL GROUP, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2021 593480199 2022-09-06 NORTH ORLANDO SURGICAL GROUP, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2020 593480199 2021-09-28 NORTH ORLANDO SURGICAL GROUP, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2019 593480199 2020-09-28 NORTH ORLANDO SURGICAL GROUP, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2018 593480199 2019-07-01 NORTH ORLANDO SURGICAL GROUP, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2017 593480199 2018-10-03 NORTH ORLANDO SURGICAL GROUP, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2016 593480199 2017-10-02 NORTH ORLANDO SURGICAL GROUP, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2015 593480199 2016-10-13 NORTH ORLANDO SURGICAL GROUP, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 1053 MEDICAL CENTER DRIVE SUITE 242, ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing JEREMY D. STEINBAUM
Valid signature Filed with authorized/valid electronic signature
NORTH ORLANDO SURGICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2014 593480199 2015-10-06 NORTH ORLANDO SURGICAL GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3867750333
Plan sponsor’s address 1053 MEDICAL CENTER DRIVE SUITE 242, ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing JEREMY D. STEINBAUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEINBAUM, JEREMY D-M.D. Agent 2864 Wellness Avenue, Suite 200, ORANGE CITY, FL 32763

President

Name Role Address
STEINBAUM, JEREMY D President 2864 Wellness Avenue, Suite 200 ORANGE CITY, FL 32763

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-02-07 2864 Wellness Avenue, Suite 200, ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2018-02-07 2864 Wellness Avenue, Suite 200, ORANGE CITY, FL 32763 No data
REGISTERED AGENT ADDRESS CHANGED 2018-02-07 2864 Wellness Avenue, Suite 200, ORANGE CITY, FL 32763 No data
REGISTERED AGENT NAME CHANGED 2000-01-26 STEINBAUM, JEREMY D-M.D. No data

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9658047210 2020-04-28 0491 PPP 2864 WELLNESS AVE SUITE 200, ORANGE CITY, FL, 32763
Loan Status Date 2021-05-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 163235
Loan Approval Amount (current) 163235
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ORANGE CITY, VOLUSIA, FL, 32763-0001
Project Congressional District FL-07
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 164800.27
Forgiveness Paid Date 2021-04-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated