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FRANK H. LEIVA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: FRANK H. LEIVA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Jun 1981 (44 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Jan 2015 (11 years ago)
Document Number: F36992
FEI/EIN Number 592092242
Address: 5979 VINELAND RD, STE 206, ORLANDO, FL, 32819, US
Mail Address: 5979 VINELAND RD, STE 206, ORLANDO, FL, 32819, US
ZIP code: 32819
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Patel Neal Manager 5979 VINELAND RD, ORLANDO, FL, 32819
PANDEY AMIT Manager 5979 VINELAND RD, ORLANDO, FL, 32819
Patel Neal Agent 5979 VINELAND RD, ORLANDO, FL, 32819

National Provider Identifier

NPI Number:
1679399430
Certification Date:
2024-12-13

Authorized Person:

Name:
DAVID ROMANELLO
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6892233898
Fax:
4073516509

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000078356 ELITE MEDICAL ASSOCIATES ACTIVE 2024-06-27 2029-12-31 - 5979 VINELAND ROAD, SUITE 206, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
CONVERSION 2025-03-28 - CONVERSION MEMBER. RESULTING CORPORATION WAS L25000138080. CONVERSION NUMBER 100000266521
REGISTERED AGENT NAME CHANGED 2024-06-13 Patel, Neal -
REINSTATEMENT 2015-01-13 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 1999-05-10 5979 VINELAND RD, STE 206, ORLANDO, FL 32819 -
CHANGE OF MAILING ADDRESS 1999-05-10 5979 VINELAND RD, STE 206, ORLANDO, FL 32819 -
REGISTERED AGENT ADDRESS CHANGED 1999-05-10 5979 VINELAND RD, STE 206, ORLANDO, FL 32819 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-13
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-09-12
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-21

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$27,695
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,695
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$28,108.12
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $27,692
Utilities: $1
Jobs Reported:
5
Initial Approval Amount:
$27,240
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,240
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$27,511.64
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $27,240

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Date of last update: 01 Aug 2025

Sources: Florida Department of State