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  5. NIBHA MEDIRATTA MD, PL

NIBHA MEDIRATTA MD, PL

Company Details

Entity Name: NIBHA MEDIRATTA MD, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 Sep 2010 (14 years ago)
Document Number: L10000099768
FEI/EIN Number 27-3534091
Address: 1970 Hospital View Way, Unit 1, CLERMONT, FL 34711
Mail Address: 1970 Hospital View Way, Unit 1, CLERMONT, FL 34711
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629387980 2010-10-04 2020-04-06 PO BOX 991, GOTHA, FL, 347340985, US 1950 HOSPITAL VIEW WAY, CLERMONT, FL, 347111926, US

Contacts
Phone +1 321-274-1864
Fax 3522433044
Phone +1 352-243-3443

Authorized person
Name DR. NIBHA MEDIRATTA
Role OWNER
Phone 3212741864

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME95217
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NIBHA MEDIRATTA MD PL CASH BALANCE PLAN 2023 273534091 2024-07-22 NIBHA MEDIRATTA MD, PL 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2023 273534091 2024-07-23 NIBHA MEDIRATTA MD, PL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD PL CASH BALANCE PLAN 2022 273534091 2023-07-14 NIBHA MEDIRATTA MD, PL 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2022 273534091 2023-07-19 NIBHA MEDIRATTA MD, PL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2021 273534091 2022-07-29 NIBHA MEDIRATTA MD, PL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD PL CASH BALANCE PLAN 2021 273534091 2022-07-29 NIBHA MEDIRATTA MD, PL 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2020 273534091 2021-10-05 NIBHA MEDIRATTA MD, PL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2019 273534091 2020-10-13 NIBHA MEDIRATTA MD, PL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2018 273534091 2019-09-25 NIBHA MEDIRATTA MD, PL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711
NIBHA MEDIRATTA MD, PL 401(K) PROFIT SHARING PLAN 2017 273534091 2018-09-20 NIBHA MEDIRATTA MD, PL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3522431101
Plan sponsor’s address 1970 HOSPITAL VIEW WAY, UNIT 1, CLERMONT, FL, 34711

Agent

Name Role Address
MEDIRATTA, NIBHA Agent 1970 Hospital View Way, Unit 1, CLERMONT, FL 34711

Managing Member

Name Role Address
MEDIRATTA, NIBHA Managing Member 1970 Hospital View Way, Unit 1 CLERMONT, FL 34711

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-08 1970 Hospital View Way, Unit 1, CLERMONT, FL 34711 No data
CHANGE OF MAILING ADDRESS 2016-04-08 1970 Hospital View Way, Unit 1, CLERMONT, FL 34711 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-08 1970 Hospital View Way, Unit 1, CLERMONT, FL 34711 No data

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-08
ANNUAL REPORT 2015-04-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8948478308 2021-01-30 0491 PPS 8921 Grey Hawk Pt, Orlando, FL, 32836-5427
Loan Status Date 2021-11-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 112735
Loan Approval Amount (current) 112735
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32836-5427
Project Congressional District FL-11
Number of Employees 14
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 113556.58
Forgiveness Paid Date 2021-10-26
1428207208 2020-04-15 0491 PPP 1970 HOSPITAL VIEW WAY UNIT 1, CLERMONT, FL, 34711-1920
Loan Status Date 2021-05-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100400
Loan Approval Amount (current) 100400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CLERMONT, LAKE, FL, 34711-1920
Project Congressional District FL-11
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 101390.25
Forgiveness Paid Date 2021-04-19

Related by officers

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Related by address

No related companies by address

Date of last update: 23 Feb 2025

Sources: Florida Department of State

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