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  5. EDUARDO GONZALEZ-HERNANDEZ MD PLLC

EDUARDO GONZALEZ-HERNANDEZ MD PLLC

Company Details

Entity Name: EDUARDO GONZALEZ-HERNANDEZ MD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 May 2009 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Feb 2013 (12 years ago)
Document Number: L09000047883
FEI/EIN Number 270191191
Address: 401 SW LEJEUNE RD, 200, MIAMI, FL, 33134
Mail Address: 401 SW LEJEUNE RD, 200, MIAMI, FL, 33134
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790910982 2009-05-18 2022-06-09 401 SW 42ND AVE, SUITE 200, MIAMI, FL, 331341938, US 401 SW 42ND AVE, SUITE 200, MIAMI, FL, 331341938, US

Contacts
Phone +1 786-270-3914
Fax 7862703986

Authorized person
Name EDUARDO GONZALEZ-HERNANDEZ
Role MANAGING PARTNER
Phone 7862703914

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No
Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDUARDO GONZALEZ HERNANDEZ MD 401(K) PROFIT SHARING PLAN & TRUST 2023 270191191 2024-06-17 EDUARDO GONZALEZ HERNANDEZ MD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863293150
Plan sponsor’s address 401 SW 42ND AVE SUITE 200, MIAMI, FL, 33134

Signature of
Role Plan administrator
Date 2024-06-17
Name of individual signing BALMETH7
Valid signature Filed with authorized/valid electronic signature
EDUARDO GONZALEZ HERNANDEZ MD 401(K) PROFIT SHARING PLAN & TRUST 2022 270191191 2023-07-05 EDUARDO GONZALEZ HERNANDEZ MD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863293150
Plan sponsor’s address 401 SW 42ND AVE SUITE 200, MIAMI, FL, 33134

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing CHRISTINE VIVES
Valid signature Filed with authorized/valid electronic signature
EDUARDO GONZALEZ HERNANDEZ MD 401(K) PROFIT SHARING PLAN & TRUST 2021 270191191 2022-06-30 EDUARDO GONZALEZ HERNANDEZ MD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863293150
Plan sponsor’s address 401 SW 42ND AVE SUITE 200, MIAMI, FL, 33134

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing CHRISTINE VIVES
Valid signature Filed with authorized/valid electronic signature
EDUARDO GONZALEZ HERNANDEZ MD 401(K) PROFIT SHARING PLAN & TRUST 2020 270191191 2021-04-14 EDUARDO GONZALEZ HERNANDEZ MD 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863293150
Plan sponsor’s address 401 SW 42ND AVE SUITE 200, MIAMI, FL, 33134

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing CHRISTINE VIVES
Valid signature Filed with authorized/valid electronic signature
EDUARDO GONZALEZ HERNANDEZ MD 401(K) PROFIT SHARING PLAN & TRUST 2019 270191191 2020-04-29 EDUARDO GONZALEZ HERNANDEZ MD 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863293150
Plan sponsor’s address 401 SW 42ND AVE SUITE 200, MIAMI, FL, 33134

Signature of
Role Plan administrator
Date 2020-04-29
Name of individual signing EDUARDO GONZALEZ-HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
EDUARDO GONZALEZ HERNANDEZ MD 401 K PROFIT SHARING PLAN TRUST 2018 270191191 2019-10-16 EDUARDO GONZALEZ HERNANDEZ MD 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863293150
Plan sponsor’s address 401 SW 42ND AVE SUITE 200, MIAMI, FL, 33134

Signature of
Role Plan administrator
Date 2019-10-16
Name of individual signing EDUARDO GONZALEZ-HERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GONZALEZ-HERNANDEZ EDUARDO M Agent 401 SW LEJEUNE RD, MIAMI, FL, 33134

Manager

Name Role Address
GONZALEZ-HERNANDEZ EDUARDO Manager 401 SW LEJEUNE RD 200, MIAMI, FL, 33134

Events

Event Type Filed Date Value Description
REINSTATEMENT 2013-02-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REGISTERED AGENT NAME CHANGED 2011-02-17 GONZALEZ-HERNANDEZ, EDUARDO MD No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-06-22
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-07-02
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-01-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9798697709 2020-05-01 0455 PPP 401 sw lejeune rd suite 200, Miami, FL, 33134
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 130400
Loan Approval Amount (current) 130400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33134-1000
Project Congressional District FL-27
Number of Employees 8
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 132021.96
Forgiveness Paid Date 2021-08-03
4719148410 2021-02-06 0455 PPS 401 SW 42nd Ave Ste 200, Coral Gables, FL, 33134-1938
Loan Status Date 2021-12-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 131197
Loan Approval Amount (current) 131197
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Coral Gables, MIAMI-DADE, FL, 33134-1938
Project Congressional District FL-27
Number of Employees 8
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 132203.44
Forgiveness Paid Date 2021-11-22

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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