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  5. FANOURIOS I. FERDERIGOS, M.D. P.A

FANOURIOS I. FERDERIGOS, M.D. P.A - Florida Company Profile

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Company Details

Entity Name: FANOURIOS I. FERDERIGOS, M.D. P.A
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Dec 1986 (39 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: J50050
FEI/EIN Number 592745575
Address: 2626 TAMPA ROAD, 103, PALM HARBOR, FL, 34684
Mail Address: 2626 TAMPA ROAD, 103, PALM HARBOR, FL, 34684
ZIP code: 34684
City: Palm Harbor
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FERDERIGOS FANOURIOS I Manager 2626 TAMPA RD STE 103, PALM HARBOR, FL, 34684
FERDERIGOS FANOURIOS I Director 2626 TAMPA RD STE 103, PALM HARBOR, FL, 34684
Fanourios Ferderigos MD PA Agent 2626 TAMPA ROAD, PALM HARBOR, FL, 34684

National Provider Identifier

NPI Number:
1225338510
Link:
View on NPI website

Authorized Person:

Name:
DR. FANOURIOS I. FERDERIGOS
Role:
PRESIDENT
Phone:
7277893300

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Phone:
+1 727-789-3300
Fax:
7277873454

Form 5500 Series

Employer Identification Number (EIN):
592745575
Plan Year:
2015
Number Of Participants:
1
Sponsors Telephone Number:
7277717482
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
7277717482
File:
View File
Plan Year:
2015
Number Of Participants:
1
Sponsors Telephone Number:
7277717482
File:
View File
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
7277717482
File:
View File
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
7277717482
File:
View File

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REGISTERED AGENT NAME CHANGED 2021-03-03 Fanourios Ferderigos MD PA -
REINSTATEMENT 2021-03-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REINSTATEMENT 2010-12-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF MAILING ADDRESS 2008-04-28 2626 TAMPA ROAD, 103, PALM HARBOR, FL 34684 -
CHANGE OF PRINCIPAL ADDRESS 2008-04-28 2626 TAMPA ROAD, 103, PALM HARBOR, FL 34684 -
REGISTERED AGENT ADDRESS CHANGED 2004-06-30 2626 TAMPA ROAD, PALM HARBOR, FL 34684 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000326927 TERMINATED 1000000470000 PINELLAS 2013-01-30 2023-02-06 $ 1,925.11 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149

Documents

Name Date
REINSTATEMENT 2021-03-03
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-02-12
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-01-10
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-04-14
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-06-26

USAspending Awards / Financial Assistance

Date:
2021-03-01
Link:
View on USAspending
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:
4060.00
Total Face Value Of Loan:
4060.00
Date:
2020-05-26
Link:
View on USAspending
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:
4165.00
Total Face Value Of Loan:
4165.00
Date:
2020-05-26
Link:
View on USAspending
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:
4165.00
Total Face Value Of Loan:
4165.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$4,165
Date Approved:
2020-05-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$4,165
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$4,202.6
Servicing Lender:
First Horizon Bank
Use of Proceeds:
Payroll: $4,165
Jobs Reported:
1
Initial Approval Amount:
$4,060
Date Approved:
2021-03-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$4,060
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$4,090.22
Servicing Lender:
First Horizon Bank
Use of Proceeds:
Payroll: $4,060

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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