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PHYSICIANS OF WINTER HAVEN, LLC - Florida Company Profile

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Company Details

Entity Name: PHYSICIANS OF WINTER HAVEN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PHYSICIANS OF WINTER HAVEN, LLC 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: 09 Oct 2003 (22 years ago)
Document Number: L03000039709
FEI/EIN Number 200324393

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

Address: 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
Mail Address: 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
ZIP code: 33884
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VILLARREAL JORGE M Vice President 120 WYNDHAM DRIVE, WINTER HAVEN, FL, 33884
Lerner Robert KMD Agent 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884
LERNER ROBERT K President 1298 MIRROR TERRACE, N.W., WINTER HAVEN, FL, 33881

National Provider Identifier

NPI Number:
1801811443

Authorized Person:

Name:
DR. JORGE R VILLARREAL
Role:
VICE PRESIDENT & MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8635081390

Form 5500 Series

Employer Identification Number (EIN):
200324393
Plan Year:
2020
Number Of Participants:
47
Sponsors DBA Name:
DAY
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
44
Sponsors DBA Name:
DAY
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
42
Sponsors DBA Name:
DAY
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
41
Sponsors DBA Name:
DAY
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
39
Sponsors DBA Name:
DAY SURGERY CENTER
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000109544 DAY SURGERY CENTER ACTIVE 2011-11-10 2026-12-31 - 2400 DUNDEE ROAD, WINTER HAVEN, FL, 33884

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-04 Lerner, Robert Kevin, MD -
CHANGE OF PRINCIPAL ADDRESS 2006-01-04 2400 DUNDEE ROAD, WINTER HAVEN, FL 33884 -
CHANGE OF MAILING ADDRESS 2006-01-04 2400 DUNDEE ROAD, WINTER HAVEN, FL 33884 -
REGISTERED AGENT ADDRESS CHANGED 2006-01-04 2400 DUNDEE ROAD, WINTER HAVEN, FL 33884 -

Documents

Name Date
ANNUAL REPORT 2025-01-04
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-22

USAspending Awards / Financial Assistance

Date:
2020-04-08
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:
487012.37
Total Face Value Of Loan:
487012.37

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
487012.37
Current Approval Amount:
487012.37
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
489717.99

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Date of last update: 03 Jun 2025

Sources: Florida Department of State