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DAVID R. ANCONA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: DAVID R. ANCONA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Sep 1984 (41 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Sep 2012 (13 years ago)
Document Number: H21647
FEI/EIN Number 592446303
Address: 603 N FLAMINGO RD S 365, MEMORIAL HOSP WES MED OFFICE BLVD, PEMBROKE PINES, FL, 33028
Mail Address: 603 N FLAMINGO RD S 365, MEMORIAL HOSP WES MED OFFICE BLVD, PEMBROKE PINES, FL, 33028
ZIP code: 33028
City: Pembroke Pines
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ancona david President 603 N FLAMINGO RD S 365, PEMBROKE PINES, FL, 33028
ANCONA, DAVID R. Agent 603 N FLAMINGO RD STE 365, PEMBROKE PINES, FL, 33028

National Provider Identifier

NPI Number:
1013221092
Certification Date:
2021-03-19

Authorized Person:

Name:
DR. DAVID R ANCONA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
9544322722

Form 5500 Series

Employer Identification Number (EIN):
592446303
Plan Year:
2009
Number Of Participants:
2
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2012-09-17 603 N FLAMINGO RD STE 365, PEMBROKE PINES, FL 33028 -
REINSTATEMENT 2012-09-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-29 603 N FLAMINGO RD S 365, MEMORIAL HOSP WES MED OFFICE BLVD, PEMBROKE PINES, FL 33028 -
CANCEL ADM DISS/REV 2007-10-08 - -
CHANGE OF MAILING ADDRESS 2007-10-08 603 N FLAMINGO RD S 365, MEMORIAL HOSP WES MED OFFICE BLVD, PEMBROKE PINES, FL 33028 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -
REINSTATEMENT 2005-02-16 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
REINSTATEMENT 1995-11-09 - -

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-03
AMENDED ANNUAL REPORT 2017-06-02
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-03-02

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$49,499
Date Approved:
2021-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,499
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,774.3
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $49,496

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Date of last update: 02 Aug 2025

Sources: Florida Department of State