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AMA MEDICAL GROUP, LLC - Florida Company Profile

Company Details

Entity Name: AMA MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

AMA MEDICAL GROUP, 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 Feb 2010 (15 years ago)
Document Number: L10000014664
FEI/EIN Number 271898482

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

Address: 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
Mail Address: 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174223416 2023-03-06 2023-03-06 1280 MISSOURI AVE N, LARGO, FL, 337701849, US 1280 MISSOURI AVE N, LARGO, FL, 337701849, US

Contacts

Phone +1 952-653-2525
Fax 9526532540

Authorized person

Name ANTONIO SOUCHET
Role PRACTICE MANAGER
Phone 7273318740

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 271898482 2022-10-17 AMA MEDICAL GROUP LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 271898482 2021-08-02 AMA MEDICAL GROUP LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2021-08-02
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 271898482 2020-06-25 AMA MEDICAL GROUP LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2020-06-25
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST 2017 271898482 2018-07-16 AMA MEDICAL GROUP LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature
AMA MEDICAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST 2016 271898482 2017-06-01 AMA MEDICAL GROUP LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7274303694
Plan sponsor’s address 125 PATRICIA AVE, DUNEDIN, FL, 34698

Signature of

Role Plan administrator
Date 2017-06-01
Name of individual signing ANTONIO SOUCHET
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
FANA-SOUCHET CRUZ MDr. Managing Member 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
SOUCHET ANTONIO M Managing Member 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL, 34698
BASKIN HAMDEN H Agent 14020 Roosevelt Blvd., CLEARWATER, FL, 33762

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-23 14020 Roosevelt Blvd., STE 808, CLEARWATER, FL 33762 -
CHANGE OF PRINCIPAL ADDRESS 2011-09-08 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL 34698 -
CHANGE OF MAILING ADDRESS 2011-09-08 125 PATRICIA AVENUE, SUITE B, DUNEDIN, FL 34698 -

Documents

Name Date
ANNUAL REPORT 2024-06-26
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-05-25
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-03-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1639247100 2020-04-10 0455 PPP 125 PATRICIA AVE, DUNEDIN, FL, 34698-8100
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 281100
Loan Approval Amount (current) 281100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DUNEDIN, PINELLAS, FL, 34698-8100
Project Congressional District FL-13
Number of Employees 33
NAICS code 622110
Borrower Race Black or African American
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 283015.94
Forgiveness Paid Date 2021-02-12
2627428404 2021-02-03 0455 PPS 125 Patricia Ave, Dunedin, FL, 34698-8100
Loan Status Date 2021-12-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 269168.84
Loan Approval Amount (current) 269168.84
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Dunedin, PINELLAS, FL, 34698-8100
Project Congressional District FL-13
Number of Employees 33
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 271204.2
Forgiveness Paid Date 2021-11-15

Date of last update: 02 Apr 2025

Sources: Florida Department of State