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  5. DR. RAPHAEL LOPEZ, LLC

DR. RAPHAEL LOPEZ, LLC - Florida Company Profile

Company Details

Entity Name: DR. RAPHAEL LOPEZ, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DR. RAPHAEL LOPEZ, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 19 Mar 2008 (17 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: L08000028553
FEI/EIN Number 830508504

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 295 Patterson Rd., SUITE B, Haines city, FL, 33844, US
Mail Address: 295 Patterson Rd., SUITE B, Haines city, FL, 33844, US
ZIP code: 33844
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942472949 2008-03-31 2008-03-31 1212 ROYCROFT AVE, CELEBRATION, FL, 347474016, US 131 WEBB DR, SUITE C, DAVENPORT, FL, 338373921, US

Contacts
Phone +1 321-939-4268

Authorized person
Name DR. RAPHAEL LUIS LOPEZ
Role OWNER/PRESIDENT
Phone 3219394268

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME85048
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR RAPHAEL LOPEZ LLC 401K PLAN 2020 830508504 2021-08-17 DR RAPHAEL LOPEZ LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 295 PATTERSON RD., SUITE B, HAINES CITY, FL, 33844

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-17
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2019 830508504 2020-07-24 DR RAPHAEL LOPEZ LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 295 PATTERSON RD., SUITE B, HAINES CITY, FL, 33844

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing RAPHAEL LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2018 830508504 2019-05-03 DR RAPHAEL LOPEZ LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 295 PATTERSON RD., SUITE B, HAINES CITY, FL, 33844

Signature of
Role Plan administrator
Date 2019-05-03
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-03
Name of individual signing RAPHAEL LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2017 830508504 2018-11-02 DR RAPHAEL LOPEZ LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 295 PATTERSON RD., SUITE B, HAINES CITY, FL, 33844

Signature of
Role Plan administrator
Date 2018-11-02
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-11-02
Name of individual signing RAPHAEL LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2016 830508504 2017-06-07 DR RAPHAEL LOPEZ LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 131 WEBB DR, SUITE C, DAVENPORT, FL, 33837

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2015 830508504 2016-06-10 DR RAPHAEL LOPEZ LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 131 WEBB DR, SUITE C, DAVENPORT, FL, 33837

Signature of
Role Plan administrator
Date 2016-06-10
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2014 830508504 2015-05-07 DR RAPHAEL LOPEZ LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 131 WEBB DR, SUITE C, DAVENPORT, FL, 33837

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2013 830508504 2014-07-16 DR RAPHAEL LOPEZ LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 131 WEBB DR, SUITE C, DAVENPORT, FL, 33837

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing RAPHAEL LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-16
Name of individual signing RAPHAEL L LOPEZ
Valid signature Filed with authorized/valid electronic signature
DR RAPHAEL LOPEZ LLC 401K PLAN 2012 830508504 2013-10-03 DR RAPHAEL LOPEZ LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8639683321
Plan sponsor’s address 131 WEBB DR, SUITE C, DAVENPORT, FL, 33837

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing RAPHAEL LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing RAPHAEL LOPEZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LOPEZ RAPHAEL Managing Member 295 Patterson Rd., Haines city, FL, 33844
Lopez Raphael Agent 295 Patterson Rd., Haines city, FL, 33844

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000026369 CYPRUSS MEDICAL CENTER EXPIRED 2019-02-25 2024-12-31 - 295 PATTERSON ROAD, SUITE B, HAINES CITY, FL, 33844
G08135900286 CYPRESS MEDICAL CENTER EXPIRED 2008-05-14 2013-12-31 - 131 WEBB DR., SUITE C, DAVENPORT, FL, 33837

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2018-04-23 295 Patterson Rd., SUITE B, Haines city, FL 33844 -
CHANGE OF PRINCIPAL ADDRESS 2018-04-23 295 Patterson Rd., SUITE B, Haines city, FL 33844 -
CHANGE OF MAILING ADDRESS 2018-04-23 295 Patterson Rd., SUITE B, Haines city, FL 33844 -
REGISTERED AGENT NAME CHANGED 2015-01-20 Lopez, Raphael -
REINSTATEMENT 2015-01-20 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
REINSTATEMENT 2012-01-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -

Documents

Name Date
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-01-30
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-02-23
REINSTATEMENT 2015-01-20
ANNUAL REPORT 2013-02-13
REINSTATEMENT 2012-01-04
ANNUAL REPORT 2010-01-12

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3056165007 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES - - TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient DR. RAPHAEL LOPEZ, LLC
Recipient Name Raw DR. RAPHAEL LOPEZ, LLC
Recipient DUNS 021286549
Recipient Address 131 WEBB DRIVE, SUITE C, DAVENPORT, POLK, FLORIDA, 33837-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 90000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4654617302 2020-04-30 0455 PPP 295 Patterson Rd. Suite B, Haines City, FL, 33844
Loan Status Date 2021-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 52100
Loan Approval Amount (current) 52100
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Haines City, POLK, FL, 33844-0001
Project Congressional District FL-18
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 52495.09
Forgiveness Paid Date 2021-02-09

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Companies related by address

No other companies in our directory share the same address as DR. RAPHAEL LOPEZ, LLC

Date of last update: 01 May 2025

Sources: Florida Department of State

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