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ST. PETERSBURG ENDOSCOPY CENTER, LLC - Florida Company Profile

Company Details

Entity Name: ST. PETERSBURG ENDOSCOPY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ST. PETERSBURG ENDOSCOPY CENTER, 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: 08 Jun 2005 (20 years ago)
Document Number: L05000056555
FEI/EIN Number 203046109

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

Address: 560 JACKSON STREET NORTH, SUITE 200, ST. PETERSBURG, FL, 33705
Mail Address: 560 JACKSON STREET NORTH, SUITE 200, ST. PETERSBURG, FL, 33705
ZIP code: 33705
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689682247 2006-08-03 2012-09-25 560 JACKSON STREET NORTH, SUITE 200, ST. PETERSBURG, FL, 337051449, US 560 JACKSON STREET NORTH, SUITE 200, ST. PETERSBURG, FL, 337051449, US

Contacts

Phone +1 727-820-7500
Fax 7278206333

Authorized person

Name DR. CHETAN K DESAI
Role PRESIDENT
Phone 7278207500

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1247
State FL
Is Primary No
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 14960618
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 076202400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2023 203046109 2024-04-23 ST. PETERSBURG ENDOSCOPY CENTER, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207513
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2024-04-23
Name of individual signing LORI KNEPP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-23
Name of individual signing DR. CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2022 203046109 2023-07-21 ST. PETERSBURG ENDOSCOPY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207513
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2023-07-21
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-21
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2021 203046109 2022-05-23 ST. PETERSBURG ENDOSCOPY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207513
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2022-05-23
Name of individual signing DR. CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2020 203046109 2021-04-26 ST. PETERSBURG ENDOSCOPY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207513
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2021-04-26
Name of individual signing DR. CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-26
Name of individual signing DR. CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2019 203046109 2020-06-19 ST. PETERSBURG ENDOSCOPY CENTER, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207513
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2020-06-19
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-19
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2018 203046109 2019-04-29 ST. PETERSBURG ENDOSCOPY CENTER, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207513
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2019-04-29
Name of individual signing DR. CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing DR. CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2017 203046109 2018-07-18 ST. PETERSBURG ENDOSCOPY CENTER, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207500
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2016 203046109 2017-05-08 ST. PETERSBURG ENDOSCOPY CENTER, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207500
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2017-05-08
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2015 203046109 2016-07-29 ST. PETERSBURG ENDOSCOPY CENTER, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207500
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2016-07-29
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature
ST. PETERSBURG ENDOSCOPY CENTER, LLC 401(K) PLAN 2014 203046109 2015-06-13 ST. PETERSBURG ENDOSCOPY CENTER, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 621900
Sponsor’s telephone number 7278207500
Plan sponsor’s address 560 JACKSON STREET NORTH, SUITE 200, ST PETERSBURG, FL, 33705

Signature of

Role Plan administrator
Date 2015-06-13
Name of individual signing CHETAN DESAI
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
DESAI CHETAN M Manager 3901 66TH ST. NO. #201, ST.PETERSBURG, FL, 33710
GLAMOUR TEJINDER M Manager 6225 66TH ST. NO., PINELLAS PARK, FL, 33710
PATEL GIRISH M Manager 212 16 STREET NORTH, ST.PETERSBURG, FL, 33705
PATEL MIHIR Manager 3901 66 STREET NORTH SUITE 201, ST,PETERSBURG, FL, 33710
PATIL ABHITABH Manager 3901 66 STREET NORTH SUITE 201, ST.PETERSBURG, FL, 33710
Bajwa Neil MDr. Manager 6225 66 Street North, Pinellas Park, FL, 33781
DESAI CHETAN Agent 560 JACKSON NO, ST. PETERSBURG, FL, 33705

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2013-01-31 560 JACKSON NO, SUITE 200, ST. PETERSBURG, FL 33705 -
CHANGE OF PRINCIPAL ADDRESS 2012-03-20 560 JACKSON STREET NORTH, SUITE 200, ST. PETERSBURG, FL 33705 -
CHANGE OF MAILING ADDRESS 2012-03-20 560 JACKSON STREET NORTH, SUITE 200, ST. PETERSBURG, FL 33705 -
REGISTERED AGENT NAME CHANGED 2010-04-13 DESAI, CHETAN -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-03-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3152858600 2021-03-16 0455 PPS 560 Jackson St N Ste 200, St Petersburg, FL, 33705-1449
Loan Status Date 2021-10-01
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 269000
Loan Approval Amount (current) 269000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address St Petersburg, PINELLAS, FL, 33705-1449
Project Congressional District FL-14
Number of Employees 30
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 270046.11
Forgiveness Paid Date 2021-08-06
3437497106 2020-04-11 0455 PPP 560 JACKSON ST N STE 200, SAINT PETERSBURG, FL, 33705-1405
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 265900
Loan Approval Amount (current) 265900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address SAINT PETERSBURG, PINELLAS, FL, 33705-1405
Project Congressional District FL-14
Number of Employees 30
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 268566.39
Forgiveness Paid Date 2021-04-26

Date of last update: 02 Mar 2025

Sources: Florida Department of State