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  5. ANCIENT CITY PEDIATRICS, LLC

ANCIENT CITY PEDIATRICS, LLC - Florida Company Profile

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Company Details

Entity Name: ANCIENT CITY PEDIATRICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ANCIENT CITY PEDIATRICS, 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: 26 Oct 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Dec 2005 (19 years ago)
Document Number: L05000105126
FEI/EIN Number 593544464

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 404, ST. AUGUSTINE, FL, 32080
Mail Address: 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 404, ST. AUGUSTINE, FL, 32080
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCLEOD ROBERT L Agent 1200 PLANTATION ISLAND DRIVE SOUTH, ST. AUGUSTINE, FL, 32080
MAS MIGUEL A Managing Member 1301 PLANTATION ISLAND DRIVE SOUTH, #404, ST. AUGUSTINE, FL, 32084

National Provider Identifier

NPI Number:
1053598292
Certification Date:
2024-10-23
Link:
View on NPI website

Authorized Person:

Name:
ADRIENNE MCCOY
Role:
OFFICE MANAGER
Phone:
9044611560

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Phone:
+1 904-461-1560
Fax:
9044614304

Form 5500 Series

Employer Identification Number (EIN):
592951584
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
9044611560
File:
View File
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
9044611560
File:
View File
Plan Year:
2021
Number Of Participants:
15
Sponsors Telephone Number:
9044611560
File:
View File
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
9044611560
File:
View File
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:
9044611560
File:
View File

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2010-02-15 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 404, ST. AUGUSTINE, FL 32080 -
AMENDMENT 2005-12-19 - -

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-03-12
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-02-03
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-02-22

USAspending Awards / Financial Assistance

Date:
2021-03-25
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:
156500.00
Total Face Value Of Loan:
156500.00
Date:
2020-05-04
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:
123800.00
Total Face Value Of Loan:
123800.00

Paycheck Protection Program

Date Approved:
2021-03-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
156500
Current Approval Amount:
156500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
157846.33
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
123800
Current Approval Amount:
123800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
124922.68

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MAS MIGUEL A

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Companies related by address

1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 404, ST. AUGUSTINE, FL, 32080

HEMANT K. BHARGAVA, M.D., P.A.

1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 404, ST. AUGUSTINE, FL, 32080

HEMANT K. BHARGAVA, M.D., P.A.

Date of last update: 02 Jun 2025

Sources: Florida Department of State

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