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  5. PERIODONTICS OF THE PALM BEACHES, P.A.

PERIODONTICS OF THE PALM BEACHES, P.A. - Florida Company Profile

Company Details

Entity Name: PERIODONTICS OF THE PALM BEACHES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PERIODONTICS OF THE PALM BEACHES, P.A. 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: 07 Jun 1976 (49 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 15 Mar 1999 (26 years ago)
Document Number: 505021
FEI/EIN Number 591673956

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1897 PALM BECH LAKES BLVD, 215, WEST PALM BCH., FL, 33409, 35
Mail Address: 1897 PALM BECH LAKES BLVD, 215, WEST PALM BCH., FL, 33409, 35
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467583229 2007-03-07 2013-01-29 1897 PALM BEACH LAKES BLVD, SUITE 215, WEST PALM BEACH, FL, 334093507, US 1897 PALM BEACH LAKES BLVD, SUITE 215, WEST PALM BEACH, FL, 334093507, US

Contacts
Phone +1 561-686-2477
Fax 5616862699

Authorized person
Name DR. STUART A. FELDMAN
Role OWNER-PERIODONTIST
Phone 5616862477

Taxonomy
Taxonomy Code 1223P0300X - Periodontist
License Number 5191
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2014 591673956 2015-06-10 PERIODONTICS OF THE PALM BEACHES, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD STE 215, WEST PALM BEACH, FL, 33409
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2013 591673956 2014-06-20 PERIODONTICS OF THE PALM BEACHES, P.A. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD #215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name STUART FELDMAN
Administrator’s telephone number 5616862477
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2012 591673956 2013-07-16 PERIODONTICS OF THE PALM BEACHES, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name STUART FELDMAN
Plan administrator’s address 1897 PALM BEACH LAKES BLVD 215, WEST PALM BEACH, FL, 33409

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing STUART FELDMAN
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2011 591673956 2012-07-30 PERIODONTICS OF THE PALM BEACHES, P.A. 17
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name PERIODONTICS OF THE PALM BEACHES, P
Plan administrator’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616862477

Signature of
Role Plan administrator
Date 2012-06-22
Name of individual signing STUART FELDMAN
Valid signature Filed with incorrect/unrecognized electronic signature
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2011 591673956 2012-07-31 PERIODONTICS OF THE PALM BEACHES, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name PERIODONTICS OF THE PALM BEACHES, P
Plan administrator’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616862477

Signature of
Role Plan administrator
Date 2012-06-22
Name of individual signing STUART FELDMAN
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2011 591673956 2012-07-31 PERIODONTICS OF THE PALM BEACHES, P.A. 17
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name PERIODONTICS OF THE PALM BEACHES, P
Plan administrator’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616862477

Signature of
Role Plan administrator
Date 2012-06-22
Name of individual signing STUART FELDMAN
Valid signature Filed with incorrect/unrecognized electronic signature
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2010 591673956 2011-10-14 PERIODONTICS OF THE PALM BEACHES, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name PERIODONTICS OF THE PALM BEACHES, P
Plan administrator’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616862477

Signature of
Role Plan administrator
Date 2011-08-05
Name of individual signing STUART FELDMAN
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS OF THE PALM BEACHES, P.A. PROFIT SHARING TRUST 2009 591673956 2010-07-12 PERIODONTICS OF THE PALM BEACHES, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-06-01
Business code 621210
Sponsor’s telephone number 5616862477
Plan sponsor’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 591673956
Plan administrator’s name PERIODONTICS OF THE PALM BEACHES, P
Plan administrator’s address 1897 PALM BEACH LAKES BLVD # 215, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616862477

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing STUART FELDMAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
FELDMAN,STUART A. Director 1897 PALM BCH LK BLVD., WEST PALM BEACH, FL, 33409
LEAL KARINA F Vice President 1897 PALM BCH LK BLVD., WEST PALM BEACH, FL, 33409
FELDMAN,STUART A. Agent 1897 PALM BCH LK BLVD., WEST PALM BCH., FL, 33409
FELDMAN,STUART A. President 1897 PALM BCH LK BLVD., WEST PALM BEACH, FL, 33409

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000073602 PERIODONTICS OF THE PALM BEACHES PA ACTIVE 2021-06-01 2026-12-31 - 1897 PALM BEACH LAKES BLVD SUITE 215, SUITE 226, WEST PALM BEACH, FL, 33409

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2011-02-17 1897 PALM BECH LAKES BLVD, 215, WEST PALM BCH., FL 33409 35 -
CHANGE OF PRINCIPAL ADDRESS 2010-05-04 1897 PALM BECH LAKES BLVD, 215, WEST PALM BCH., FL 33409 35 -
REGISTERED AGENT ADDRESS CHANGED 2010-05-04 1897 PALM BCH LK BLVD., 215, WEST PALM BCH., FL 33409 -
NAME CHANGE AMENDMENT 1999-03-15 PERIODONTICS OF THE PALM BEACHES, P.A. -
NAME CHANGE AMENDMENT 1988-02-15 FELDMAN & LAZZARA, P.A. -
NAME CHANGE AMENDMENT 1985-08-14 FELDMAN, LAZZARA & CERAVOLO, P.A. -
NAME CHANGE AMENDMENT 1979-12-27 FELDMAN AND LAZZARA, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-03-22
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-24
ANNUAL REPORT 2015-05-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5925237303 2020-04-30 0455 PPP 1897 PALM BEACH LAKES BLVD #215, WEST PALM BEACH, FL, 33409-3508
Loan Status Date 2021-08-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 220600
Loan Approval Amount (current) 220600
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 Y
Business Age Description Existing or more than 2 years old
Project Address WEST PALM BEACH, PALM BEACH, FL, 33409-3508
Project Congressional District FL-20
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 223192.81
Forgiveness Paid Date 2021-07-15

Companies related by officers

LEAL KARINA F

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KARINA F. LEAL, D.M.D., P.A. - Inactive
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K.F. LEAL, D.M.D., P.A. - Active
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Companies related by address

No other companies in our directory share the same address as PERIODONTICS OF THE PALM BEACHES, P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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