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EDWARD J. GROSS, M.D., P.L. - Florida Company Profile

Company Details

Entity Name: EDWARD J. GROSS, M.D., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EDWARD J. GROSS, M.D., P.L. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 10 May 2002 (23 years ago)
Document Number: L02000011921
FEI/EIN Number 59-3613914

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

Address: 1035 PRIMERA BLVD, LAKE MARY, FL, 32746, US
Mail Address: 1035 PRIMERA BLVD, LAKE MARY, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801219944 2014-01-25 2014-08-05 1035 PRIMERA BLVD, LAKE MARY, FL, 327462193, US 1035 PRIMERA BLVD, LAKE MARY, FL, 327462193, US

Contacts

Phone +1 407-333-3040
Fax 4073333496

Authorized person

Name DR. EDWARD J GROSS
Role OWNER
Phone 4073333040

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
License Number ME0074351
State FL
Is Primary Yes
Taxonomy Code 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number ME74351
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMERA PLASTIC SURGERY CASH BALANCE PLAN 2023 593613914 2024-09-12 EDWARD J. GROSS, M.D., P.L. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 4073333040
Plan sponsor’s address 1035 PRIMERA BLVD, LAKE MARY, FL, 32746
PRIMERA PLASTIC SURGERY 401(K) PROFIT SHARING PLAN 2023 593613914 2024-07-22 EDWARD J. GROSS, M.D., P.L. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 4073333040
Plan sponsor’s address 1035 PRIMERA BLVD, LAKE MARY, FL, 32746
PRIMERA PLASTIC SURGERY 401(K) PROFIT SHARING PLAN 2022 593613914 2023-10-05 EDWARD J. GROSS, M.D., P.L. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 4073333040
Plan sponsor’s address 1035 PRIMERA BLVD, LAKE MARY, FL, 32746
PRIMERA PLASTIC SURGERY CASH BALANCE PLAN 2022 593613914 2023-10-04 EDWARD J. GROSS, M.D., P.L. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 4073333040
Plan sponsor’s address 1035 PRIMERA BLVD, LAKE MARY, FL, 32746

Key Officers & Management

Name Role Address
GROSS EDWARD JDr. Manager 1035 PRIMERA BLVD, LAKE MARY, FL, 32746
LIFEBOAT REGISTERED AGENTS, LLC Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000045523 PRIMERA DERMATOLOGY CENTER EXPIRED 2014-05-07 2019-12-31 - 1035 PRIMERA BLVD, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-02-04 Lifeboat Registered Agents, LLC -
CHANGE OF MAILING ADDRESS 2014-07-11 1035 PRIMERA BLVD, LAKE MARY, FL 32746 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-16 3700 SOUTH CONWAY ROAD, SUITE 100, ORLANDO, FL 32812 -
CHANGE OF PRINCIPAL ADDRESS 2008-04-30 1035 PRIMERA BLVD, LAKE MARY, FL 32746 -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9620717008 2020-04-09 0491 PPP 1035 Primera Blvd, LAKE MARY, FL, 32746-2175
Loan Status Date 2021-05-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 149352
Loan Approval Amount (current) 149352
Undisbursed Amount 0
Franchise Name -
Lender Location ID 88833
Servicing Lender Name Axiom Bank, National Association
Servicing Lender Address 258 Southhall Ln, MAITLAND, FL, 32751-7449
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKE MARY, SEMINOLE, FL, 32746-2175
Project Congressional District FL-07
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 88833
Originating Lender Name Axiom Bank, National Association
Originating Lender Address MAITLAND, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 150800.51
Forgiveness Paid Date 2021-04-08

Date of last update: 01 Apr 2025

Sources: Florida Department of State