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HARRY W. EICHENBAUM, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: HARRY W. EICHENBAUM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jan 1981 (45 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Jan 2022 (4 years ago)
Document Number: F04452
FEI/EIN Number 592040141
Address: 4320 CENTRAL AVE, ST PETERSBURG, FL, 33711
Mail Address: 727 16th AVE NE, ST PETERSBURG, FL, 33704, US
ZIP code: 33711
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
EICHENBAUM MARK President 727 16th AVE NE, ST PETERSBURG, FL, 33704
EICHENBAUM MARK Agent 727 16th AVE NE, ST PETERSBURG, FL, 33704

National Provider Identifier

NPI Number:
1265671549

Authorized Person:

Name:
DR. MARK S EICHENBAUM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
7273814934

Form 5500 Series

Employer Identification Number (EIN):
592040141
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000078903 AGING WELL ASSOCIATES ACTIVE 2020-07-06 2025-12-31 - 4320 CENTRAL AVE, SAINT PETERSBURG, FL, 33711
G09000106609 AGING WELL ASSOCIATES EXPIRED 2009-05-12 2014-12-31 - 1609 PASADENA AVE. S., SUITE 3G, SOUTH PASADENA, FL, 33707

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-01-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF MAILING ADDRESS 2020-05-20 4320 CENTRAL AVE, ST PETERSBURG, FL 33711 -
REGISTERED AGENT ADDRESS CHANGED 2020-05-20 727 16th AVE NE, ST PETERSBURG, FL 33704 -
REGISTERED AGENT NAME CHANGED 2020-05-20 EICHENBAUM, MARK -
CHANGE OF PRINCIPAL ADDRESS 2011-02-18 4320 CENTRAL AVE, ST PETERSBURG, FL 33711 -
CANCEL ADM DISS/REV 2005-10-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-03-30
REINSTATEMENT 2022-01-21
ANNUAL REPORT 2020-05-20
ANNUAL REPORT 2019-07-30
ANNUAL REPORT 2018-09-23
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-03-20
ANNUAL REPORT 2014-04-18

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
52100.00
Total Face Value Of Loan:
52100.00
Date:
2020-04-28
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:
52100.00
Total Face Value Of Loan:
52100.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$52,100
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,568.19
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $52,100

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Date of last update: 01 Aug 2025

Sources: Florida Department of State