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OPHTHALMOLOGY CENTER OF BREVARD LP - Florida Company Profile

Company Details

Entity Name: OPHTHALMOLOGY CENTER OF BREVARD LP
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Partnership
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: 31 Aug 1995 (30 years ago)
Last Event: LP NAME CHANGE
Event Date Filed: 27 Sep 2012 (12 years ago)
Document Number: B95000000314
FEI/EIN Number 621546274

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 502 EAST NEW HAVEN, MELBOURNE, FL, 32901
Mail Address: 502 EAST NEW HAVEN, MELBOURNE, FL, 32901
ZIP code: 32901
County: Brevard
Place of Formation: TENNESSEE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164473922 2006-05-15 2023-07-19 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427, US 719 E NEW HAVEN AVE, MELBOURNE, FL, 329015459, US

Contacts

Phone +1 321-726-4024
Fax 3219849547
Phone +1 321-984-4405

Authorized person

Name DR. DAVID S WEISER
Role PRESIDENT
Phone 3217272020

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 800009870
State FL
Is Primary Yes
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 079091500
State FL

Key Officers & Management

Name Role Address
BARKER PATRICIA C Agent 502 EAST NEW HAVEN, MELBOURNE, FL, 32901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G06103700057 ASC OF BREVARD ACTIVE 2006-04-13 2026-12-31 - 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-19 BARKER, PATRICIA C -
LP NAME CHANGE 2012-09-27 THE OPHTHALMOLOGY CENTER OF BREVARD, L.P. -
AMENDMENT 2005-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2005-09-27 502 EAST NEW HAVEN, MELBOURNE, FL 32901 -
CHANGE OF MAILING ADDRESS 2005-09-27 502 EAST NEW HAVEN, MELBOURNE, FL 32901 -
REGISTERED AGENT ADDRESS CHANGED 2005-09-27 502 EAST NEW HAVEN, MELBOURNE, FL 32901 -
REINSTATEMENT 2005-09-27 - -
REVOKED FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-29
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2948348906 2021-04-27 0455 PPS 517 E New Haven Ave, Melbourne, FL, 32901-5461
Loan Status Date 2022-01-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 256771.7
Loan Approval Amount (current) 256771.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124287
Servicing Lender Name Community Bank of the South
Servicing Lender Address 277 N Sykes Creek Pkwy, MERRITT ISLAND, FL, 32953-3428
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Melbourne, BREVARD, FL, 32901-5461
Project Congressional District FL-08
Number of Employees 26
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 124287
Originating Lender Name Community Bank of the South
Originating Lender Address MERRITT ISLAND, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 258298.07
Forgiveness Paid Date 2021-12-08
4535057308 2020-04-29 0455 PPP 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901-5427
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 257500
Loan Approval Amount (current) 256771.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124287
Servicing Lender Name Community Bank of the South
Servicing Lender Address 277 N Sykes Creek Pkwy, MERRITT ISLAND, FL, 32953-3428
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MELBOURNE, BREVARD, FL, 32901-5427
Project Congressional District FL-08
Number of Employees 16
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 124287
Originating Lender Name Community Bank of the South
Originating Lender Address MERRITT ISLAND, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 259082.65
Forgiveness Paid Date 2021-04-01

Date of last update: 02 Mar 2025

Sources: Florida Department of State