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DAVID S. BALLESTAS M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: DAVID S. BALLESTAS M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DAVID S. BALLESTAS 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: 03 Dec 1985 (40 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Dec 2021 (4 years ago)
Document Number: H87694
FEI/EIN Number 592627966

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2525 HARBOR BLVD, STE.102, PORT CHARLOTTE, FL, 33952, US
Mail Address: 2525 HARBOR BLVD, STE.102, PORT CHARLOTTE, FL, 33952, US
ZIP code: 33952
City: Port Charlotte
County: Charlotte
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BALLESTAS, DAVID S. Agent 2525 HARBOR BLVD, PORT CHARLOTTE, FL, 33952
BALLESTAS, DAVID S. Director 2525 HARBOR BLVD, STE 102, PORT CHARLOTTE, FL
Ballestas Evelia B Director 2525 HARBOR BLVD, PORT CHARLOTTE, FL, 33952
Olave-Yousif Carolyn Director 2525 HARBOR BLVD, PORT CHARLOTTE, FL, 33952

National Provider Identifier

NPI Number:
1093901282

Authorized Person:

Name:
DR. DAVID S. BALLESTAS
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
9416252751

Form 5500 Series

Employer Identification Number (EIN):
592627966
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
AMENDMENT 2021-12-13 - -
AMENDMENT 2021-12-10 - -
REGISTERED AGENT ADDRESS CHANGED 2011-05-01 2525 HARBOR BLVD, STE.102, PORT CHARLOTTE, FL 33952 -
CHANGE OF PRINCIPAL ADDRESS 2011-05-01 2525 HARBOR BLVD, STE.102, PORT CHARLOTTE, FL 33952 -
CHANGE OF MAILING ADDRESS 2011-05-01 2525 HARBOR BLVD, STE.102, PORT CHARLOTTE, FL 33952 -
REINSTATEMENT 2003-11-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -
REINSTATEMENT 2002-10-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-01-14
Amendment 2021-12-10
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-07

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$100,000
Date Approved:
2021-03-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$101,022.22
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $99,996
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$99,914
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$99,914
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$101,190.68
Servicing Lender:
Lake Michigan CU
Use of Proceeds:
Payroll: $99,914

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Date of last update: 02 Jul 2025

Sources: Florida Department of State