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  5. ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC

ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC

Company Details

Entity Name: ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Mar 2011 (14 years ago)
Last Event: LC ARTICLE OF CORRECTION
Event Date Filed: 22 Mar 2011 (14 years ago)
Document Number: L11000032910
FEI/EIN Number 450704201
Address: 1560 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250, US
Mail Address: 1560 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250, US
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861791402 2011-03-22 2018-12-06 1560 ROBERTS DR, JACKSONVILLE BEACH, FL, 322503222, US 1560 ROBERTS DR, JACKSONVILLE BEACH, FL, 322503222, US

Contacts
Phone +1 904-339-0350
Fax 9043390351

Authorized person
Name KUNAL THAKKAR
Role PRESIDENT
Phone 9043390350

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
License Number ME104096
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2023 450704201 2024-04-17 ADVANCED EAR, NOSE, THROAT ASSOCIATES, 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 9048030533
Plan sponsor’s address 1560 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2022 450704201 2023-06-26 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1560 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2021 450704201 2022-08-08 ADVANCED EAR, NOSE, THROAT ASSOCIATES, 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 9048030533
Plan sponsor’s address 1560 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2020 450704201 2021-07-18 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1560 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2021-07-18
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-18
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2019 450704201 2020-07-24 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1560 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2018 450704201 2019-05-24 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1560 ROBERTS DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-24
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2017 450704201 2018-05-09 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1370 13TH AVENUE SOUTH, SUITE 218, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-09
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2016 450704201 2017-06-29 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1370 13TH AVENUE SOUTH, SUITE 218, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2017-06-29
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-29
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2015 450704201 2016-05-04 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1370 13TH AVENUE SOUTH, SUITE 218, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2016-05-04
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-04
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2014 450704201 2015-03-09 ADVANCED EAR, NOSE, THROAT ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9048030533
Plan sponsor’s address 1370 13TH AVENUE SOUTH, SUITE 218, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2015-03-09
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-09
Name of individual signing KUNAL THAKKAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADVANCED EAR, NOSE, THROAT ASSOCIATS Agent 1560 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250

Auth

Name Role Address
thakkar kunal Auth 1560 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-01-11 1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250 No data
CHANGE OF MAILING ADDRESS 2019-01-11 1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250 No data
REGISTERED AGENT ADDRESS CHANGED 2019-01-11 1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250 No data
REGISTERED AGENT NAME CHANGED 2015-01-07 ADVANCED EAR, NOSE, THROAT ASSOCIATS No data
LC ARTICLE OF CORRECTION 2011-03-22 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-07
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-11
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7775917102 2020-04-14 0491 PPP 1560 Roberts Dr, JACKSONVILLE BEACH, FL, 32250
Loan Status Date 2021-06-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45800
Loan Approval Amount (current) 45800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE BEACH, DUVAL, FL, 32250-0001
Project Congressional District FL-05
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46291.07
Forgiveness Paid Date 2021-05-13

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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