Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. St. Johns
    4. ›
  4. 32080
    5. ›
  5. HARBOUR ISLAND PEDIATRICS, LLC

HARBOUR ISLAND PEDIATRICS, LLC - Florida Company Profile

Company Details

Entity Name: HARBOUR ISLAND PEDIATRICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

HARBOUR ISLAND 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: 23 Jul 2010 (15 years ago)
Document Number: L10000077710
FEI/EIN Number 273153744

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1301 PLANTATION ISLAND DR., 105B, ST. AUGUSTINE, FL, 32080, US
Mail Address: 1301 PLANTATION ISLAND DR., #105B, ST. AUGUSTINE, FL, 32080, US
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790086429 2010-11-11 2010-11-11 2250 CAVALRY BLVD, JACKSONVILLE, FL, 322464201, US 1301 PLANTATION ISLAND DR S, SUITE 106-B, ST AUGUSTINE, FL, 320803108, US

Contacts
Phone +1 904-282-6331
Fax 9042821550
Phone +1 904-461-8906
Fax 9044618907

Authorized person
Name DR. HOMERO VARELA SICANGCO JR.
Role PRESIDENT
Phone 9042826331

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number ME71363
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARBOUR ISLAND PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST 2023 273153744 2024-05-02 HARBOUR ISLAND PEDIATRICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S STE 105, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST 2022 273153744 2023-03-29 HARBOUR ISLAND PEDIATRICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S STE 105, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST 2021 273153744 2022-05-16 HARBOUR ISLAND PEDIATRICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S STE 105, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST 2020 273153744 2021-06-04 HARBOUR ISLAND PEDIATRICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S STE 105, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2021-06-04
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401(K) PROFIT SHARING PLAN & TRUST 2019 273153744 2020-05-12 HARBOUR ISLAND PEDIATRICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S STE 105, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2018 273153744 2019-05-17 HARBOUR ISLAND PEDIATRICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S STE 105, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2017 273153744 2018-07-19 HARBOUR ISLAND PEDIATRICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S ST, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2016 273153744 2017-07-20 HARBOUR ISLAND PEDIATRICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S ST, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2015 273153744 2016-07-14 HARBOUR ISLAND PEDIATRICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S ST, SAINT AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature
HARBOUR ISLAND PEDIATRICS 401 K PROFIT SHARING PLAN TRUST 2014 273153744 2015-05-21 HARBOUR ISLAND PEDIATRICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9044618906
Plan sponsor’s address 1301 PLANTATION ISLAND DR S. S, SUITE 105B, SAINT AUGUSTINE, FL, 320803108

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing HOMERO SICANGCO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SICANGCO HOMERO J Manager 1301 PLANTATION ISLAND DR.#105B, ST. AUGUSTINE, FL, 32080
SICANGCO HOMERO J Agent 1301 PLANTATION ISLAND DR., ST. AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-03-02 1301 PLANTATION ISLAND DR., 105B, ST. AUGUSTINE, FL 32080 -
CHANGE OF MAILING ADDRESS 2016-03-02 1301 PLANTATION ISLAND DR., 105B, ST. AUGUSTINE, FL 32080 -
REGISTERED AGENT ADDRESS CHANGED 2016-03-02 1301 PLANTATION ISLAND DR., #105B, ST. AUGUSTINE, FL 32080 -

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8797948102 2020-07-27 0491 PPP 2950 MONTILLA DRIVE, JACKSONVILLE, FL, 32246-5526
Loan Status Date 2021-05-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65661
Loan Approval Amount (current) 65661
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32246-5526
Project Congressional District FL-05
Number of Employees 6
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 66130.52
Forgiveness Paid Date 2021-04-16

Companies related by officers

No other companies in our directory share the same officers as HARBOUR ISLAND PEDIATRICS, LLC

Companies related by address

No other companies in our directory share the same address as HARBOUR ISLAND PEDIATRICS, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated