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  5. FETAL DIAGNOSTIC CENTER OF ORLANDO, INC.

FETAL DIAGNOSTIC CENTER OF ORLANDO, INC.

Company Details

Entity Name: FETAL DIAGNOSTIC CENTER OF ORLANDO, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Oct 1999 (25 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P99000095496
FEI/EIN Number 593606012
Address: 615 E PRINCETON STREET, #240, ORLANDO, FL, 32803
Mail Address: 615 E PRINCETON STREET, #240, ORLANDO, FL, 32803
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245241546 2006-08-11 2009-05-27 615 E PRINCETON ST, SUITE 240, ORLANDO, FL, 328031456, US 615 E PRINCETON ST, SUITE 240, ORLANDO, FL, 328031456, US

Contacts
Phone +1 407-897-3737
Fax 4078973711

Authorized person
Name LORI HASKINS
Role PRACTICE MANAGER
Phone 4078973737

Taxonomy
Taxonomy Code 207VM0101X - Maternal & Fetal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 401K PLAN 2021 593606012 2022-05-20 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2022-05-20
Name of individual signing LORI HASKINS
Valid signature Filed with authorized/valid electronic signature
FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 401K PLAN 2021 593606012 2022-05-20 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2022-05-20
Name of individual signing LORI HASKINS
Valid signature Filed with authorized/valid electronic signature
FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 401K PLAN 2020 593606012 2021-07-23 FETAL DIAGNOSTIC CENTER OF ORLANDO, 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing LORI HASKINS
Valid signature Filed with authorized/valid electronic signature
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2019 593606012 2020-07-16 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing AHMED AL-MALT, MD
Valid signature Filed with authorized/valid electronic signature
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2018 593606012 2019-06-28 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2019-06-28
Name of individual signing AHMED AL-MALT, MD
Valid signature Filed with authorized/valid electronic signature
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2017 593606012 2018-07-03 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2018-07-03
Name of individual signing AHMED AL-MALT, MD
Valid signature Filed with authorized/valid electronic signature
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2016 593606012 2017-08-14 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078973737
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2017-08-14
Name of individual signing AHMED AL-MALT, MD
Valid signature Filed with authorized/valid electronic signature
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2015 593606012 2016-07-28 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 812990
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2014 593606012 2015-07-09 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 812990
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing AHMED M AL-MALT, MD
Valid signature Filed with authorized/valid electronic signature
THE FETAL DIAGNOSTIC CENTER OF ORLANDO PROFIT SHARING AND 401(K) PLAN 2013 593606012 2014-07-07 FETAL DIAGNOSTIC CENTER OF ORLANDO, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 812990
Plan sponsor’s address 615 EAST PRINCETON STREET #240, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing AHMED M AL-MALT, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AL-MALT AHMED M Agent 1129 BROWNSHIRE CT, LONGWOOD, FL, 32779

Director

Name Role Address
AL-MALT AHMED M Director 1129 BROWNSHIRE CT., LONGWOOD, FL, 32779

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
AMENDMENT 2007-07-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2001-05-18 615 E PRINCETON STREET, #240, ORLANDO, FL 32803 No data
CHANGE OF MAILING ADDRESS 2001-05-18 615 E PRINCETON STREET, #240, ORLANDO, FL 32803 No data
REGISTERED AGENT ADDRESS CHANGED 2001-05-18 1129 BROWNSHIRE CT, LONGWOOD, FL 32779 No data
REGISTERED AGENT NAME CHANGED 2000-03-02 AL-MALT, AHMED M No data

Documents

Name Date
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-29
ANNUAL REPORT 2014-04-29
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-04-27

Related by officers

AL-MALT AHMED M

MAC PROFESSIONAL CENTER CONDOMINIUM ASSOCIATION, INC. ALTAMONTE PERINATAL CENTER, LLC SIGNATURE MEDICAL INTERNATIONAL, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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