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  5. RICHARD M. DWOSKIN, M.D., P.A.

RICHARD M. DWOSKIN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: RICHARD M. DWOSKIN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RICHARD M. DWOSKIN, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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: 13 May 1985 (40 years ago)
Document Number: H56811
FEI/EIN Number 592524832

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3370 Burns Rd.,, PALM BEACH GARDENS, FL, 33410, US
Mail Address: 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 33418
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508159427 2011-05-25 2022-08-30 12 WYCLIFF RD, PALM BEACH GARDENS, FL, 334186846, US 3370 BURNS RD STE 105A, PALM BEACH GARDENS, FL, 334104327, US

Contacts
Phone +1 561-775-1506

Authorized person
Name RICHARD MARK DWOSKIN
Role PRESIDENT
Phone 5617751506

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 040227300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD M. DWOSKIN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 592524832 2017-03-29 RICHARD M. DWOSKIN, M.D., P.A. 2
Three-digit plan number (PN) 002
Effective date of plan 1985-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2016 592524832 2017-03-29 RICHARD M. DWOSKIN, M.D., P.A. 2
Three-digit plan number (PN) 003
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2016 592524832 2017-06-01 RICHARD M. DWOSKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 592524832 2017-06-01 RICHARD M. DWOSKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 592524832 2016-08-24 RICHARD M. DWOSKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2015 592524832 2016-08-24 RICHARD M. DWOSKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. DEFINED BENEFIT PENSION PLAN 2014 592524832 2015-09-02 RICHARD M. DWOSKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 592524832 2015-09-02 RICHARD M. DWOSKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846
RICHARD M. DWOSKIN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 592524832 2014-10-28 RICHARD M. DWOSKIN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846

Signature of
Role Plan administrator
Date 2014-10-28
Name of individual signing RICHARD DWOSKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-28
Name of individual signing RICHARD DWOSKIN
Valid signature Filed with authorized/valid electronic signature
RICHARD M. DWOSKIN, M.D., P.A, DEFINED BENEFIT PENSION PLAN 2013 592524832 2014-10-28 RICHARD M. DWOSKIN, M.D., P.A, 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 5617751506
Plan sponsor’s address 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 334186846

Signature of
Role Plan administrator
Date 2014-10-28
Name of individual signing RICHARD DWOSKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-28
Name of individual signing RICHARD DWOSKIN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
DWOSKIN RICHARD M Agent 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 33418
DWOSKIN, RICHARD M.,M.D. President 12 WYCLIFF RD, PALM BEACH GARDENS, FL, 33418

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-22 3370 Burns Rd.,, Suite 105A, PALM BEACH GARDENS, FL 33410 -
CHANGE OF MAILING ADDRESS 2011-02-16 3370 Burns Rd.,, Suite 105A, PALM BEACH GARDENS, FL 33410 -
REGISTERED AGENT ADDRESS CHANGED 2011-02-16 12 WYCLIFF ROAD, PALM BEACH GARDENS, FL 33418 -
REGISTERED AGENT NAME CHANGED 2009-01-08 DWOSKIN, RICHARD MMD -

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-02-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1209298405 2021-02-01 0455 PPS 3370 Burns Rd Ste 105, Palm Beach Gardens, FL, 33410-4327
Loan Status Date 2022-02-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 30800
Loan Approval Amount (current) 30800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Palm Beach Gardens, PALM BEACH, FL, 33410-4327
Project Congressional District FL-21
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 458637
Originating Lender Name Seacoast National Bank
Originating Lender Address Coral Gables, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 30941.17
Forgiveness Paid Date 2021-07-20
1729847303 2020-04-28 0455 PPP 12 Wycliff Rd, Palm Beach Gardens, FL, 33418-6846
Loan Status Date 2022-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 30800
Loan Approval Amount (current) 30800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Palm Beach Gardens, PALM BEACH, FL, 33418-6846
Project Congressional District FL-21
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 458637
Originating Lender Name Seacoast National Bank
Originating Lender Address Coral Gables, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 31093.46
Forgiveness Paid Date 2021-04-14

Companies related by officers

DWOSKIN RICHARD M

RICHARD M. DWOSKIN, M.D., J.D., PLC - Inactive
Florida Limited Liability Co. (2001 - 2002)

Companies related by address

12 WYCLIFF ROAD, PALM BEACH GARDENS, FL, 33418

RICHARD M. DWOSKIN, M.D., J.D., PLC

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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