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  5. SANFORD PEDIATRIC ASSOCIATES, P.A.

SANFORD PEDIATRIC ASSOCIATES, P.A. - Florida Company Profile

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Company Details

Entity Name: SANFORD PEDIATRIC ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Jun 1973 (52 years ago)
Date of dissolution: 26 Apr 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 26 Apr 2023 (2 years ago)
Document Number: 604444
FEI/EIN Number 591465150
Address: 1565 SAXON BLVD, STE 202, DELTONA, FL, 32725, US
Mail Address: 1565 SAXON BLVD, STE 202, DELTONA, FL, 32725, US
ZIP code: 32725
City: Deltona
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TERWILLEGER, M.D. JOHN E President 1565 SAXON BLVD, DELTONA, FL, 32725
TERWILLEGER, M.D. JOHN E Director 1565 SAXON BLVD, DELTONA, FL, 32725
TERWILLEGER JOHN E Agent 1565 SAXON BLVD, DELTONA, FL, 32725

National Provider Identifier

NPI Number:
1124491816
Link:
View on NPI website

Authorized Person:

Name:
DR. JOHN EDWARD TERWILLEGER
Role:
PRESIDENT
Phone:
3868510644

Taxonomy:

Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 386-851-0644
Fax:
3868510664

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-04-26 - -
CHANGE OF PRINCIPAL ADDRESS 2017-04-01 1565 SAXON BLVD, STE 202, DELTONA, FL 32725 -
CHANGE OF MAILING ADDRESS 2017-04-01 1565 SAXON BLVD, STE 202, DELTONA, FL 32725 -
REGISTERED AGENT ADDRESS CHANGED 2017-04-01 1565 SAXON BLVD, STE 202, DELTONA, FL 32725 -
REGISTERED AGENT NAME CHANGED 2006-04-18 TERWILLEGER, JOHN EM.D. -
NAME CHANGE AMENDMENT 1996-02-19 SANFORD PEDIATRIC ASSOCIATES, P.A. -
NAME CHANGE AMENDMENT 1975-11-14 M. VANN PARKER, M.D., P.A. -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-04-26
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-04
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-01
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-04-01
ANNUAL REPORT 2014-04-17

USAspending Awards / Financial Assistance

Date:
2020-04-28
Link:
View on USAspending
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:
53000.00
Total Face Value Of Loan:
53000.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$53,085
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,085
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$53,393.33
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $53,083
Utilities: $1
Jobs Reported:
5
Initial Approval Amount:
$53,000
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,000
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$53,342.68
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $53,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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