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BREVARD NEPHROLOGY GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: BREVARD NEPHROLOGY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Sep 1983 (42 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 04 Aug 1993 (32 years ago)
Document Number: G58661
FEI/EIN Number 592319823
Address: 245 S COURTNEY PKWY, BLDG B, MERRITT ISLAND, FL, 32952, US
Mail Address: 245 S COURTNEY PKWY, BLDG B, MERRITT ISLAND, FL, 32952, US
ZIP code: 32952
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WANICH CHARLES K President 245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
YASSA SAMIR K Treasurer 245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
Girgis Christopher H Manager 245 S Courtenay Pkwy, Merritt Island, FL, 32952
Girgis Hany I Agent 245 SOUTH COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
GIRGIS, HANY I Secretary 245 S COURTENAY PKWY., MERRITT ISLAND, FL
CANLAS ELLERY E Treasurer 245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952

National Provider Identifier

NPI Number:
1003029786

Authorized Person:

Name:
CHARLES K WANICH
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
3214528507

Form 5500 Series

Employer Identification Number (EIN):
592319823
Plan Year:
2024
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-12 Girgis, Hany I -
REGISTERED AGENT ADDRESS CHANGED 2008-05-02 245 SOUTH COURTENAY PARKWAY, MERRITT ISLAND, FL 32952 -
CHANGE OF PRINCIPAL ADDRESS 2003-02-12 245 S COURTNEY PKWY, BLDG B, MERRITT ISLAND, FL 32952 -
CHANGE OF MAILING ADDRESS 2003-02-12 245 S COURTNEY PKWY, BLDG B, MERRITT ISLAND, FL 32952 -
NAME CHANGE AMENDMENT 1993-08-04 BREVARD NEPHROLOGY GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-01-21
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-04-01
ANNUAL REPORT 2017-03-31
ANNUAL REPORT 2016-03-27

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
1000.00
Total Face Value Of Loan:
0.00
Date:
2020-04-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
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:
156200.00
Total Face Value Of Loan:
156200.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$156,200
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$156,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$158,048.72
Servicing Lender:
Addition Financial CU
Use of Proceeds:
Payroll: $156,200

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Date of last update: 01 Aug 2025

Sources: Florida Department of State