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BREVARD EAR, NOSE & THROAT CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: BREVARD EAR, NOSE & THROAT CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Nov 1977 (48 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2010 (15 years ago)
Document Number: 551686
FEI/EIN Number 591780425
Address: % DAVID M. WHITLY, 1099 FLORIDA AVE., ROCKLEDGE, FL, 32955, US
Mail Address: % DAVID M. WHITLEY, 1099 FLORIDA AVE., ROCKLEDGE, FL, 32955, US
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOLT THOMAS SDr. Director % DAVID M. WHITLEY, ROCKLEDGE, FL, 32955
WHITLEY DAVID MDr. Director % DAVID M. WHITLEY, ROCKLEDGE, FL, 32955
CRAIN RACHEL MDr. Secretary % DAVID M. WHITLEY, ROCKELDGE, FL, 32955
WHITLEY DAVID MDr. Agent 1099 FLORIDA AVE., ROCKLEDGE, FL, 32955
BROOK RACHEL Dr. Secretary 2524 CARMEL ROAD, INDIALANTIC, FL, 32903

National Provider Identifier

NPI Number:
1669454278

Authorized Person:

Name:
CAROLYN ARMSTRONG
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
3216397222

Form 5500 Series

Employer Identification Number (EIN):
591780425
Plan Year:
2024
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
27
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-19 % DAVID M. WHITLY, 1099 FLORIDA AVE., ROCKLEDGE, FL 32955 -
REGISTERED AGENT NAME CHANGED 2016-01-19 WHITLEY, DAVID M, Dr. -
CHANGE OF MAILING ADDRESS 2016-01-19 % DAVID M. WHITLY, 1099 FLORIDA AVE., ROCKLEDGE, FL 32955 -
REINSTATEMENT 2010-10-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
NAME CHANGE AMENDMENT 1993-06-28 BREVARD EAR, NOSE & THROAT CENTER, P.A. -
REGISTERED AGENT ADDRESS CHANGED 1988-03-22 1099 FLORIDA AVE., ROCKLEDGE, FL 32955 -
NAME CHANGE AMENDMENT 1982-07-27 DRS. WILSON, PHILLIPS & BURK, P.A. -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-08
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-19

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
247900.00
Total Face Value Of Loan:
247900.00

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$247,900
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$247,900
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$249,686.24
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $247,900
Jobs Reported:
19
Initial Approval Amount:
$200,068
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$200,068
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$201,904.24
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $200,066
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State