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AJD MEDICAL LLC - Florida Company Profile

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Company Details

Entity Name: AJD MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Dec 2012 (13 years ago)
Last Event: CONVERSION
Event Date Filed: 18 Dec 2012 (13 years ago)
Document Number: L12000159044
FEI/EIN Number 26-3347931
Address: 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL, 32127, US
Mail Address: 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DECARLI ANTONIO Managing Member 823 DUNLAWTON AVE, PORT ORANGE, FL, 32127
DECARLI ANTONIO Agent 1844 OLD MISSION RD, EDGEWATER, FL, 32132

National Provider Identifier

NPI Number:
1629314927
Certification Date:
2021-01-23

Authorized Person:

Name:
ANTONIO DECARLI
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
3864270394

Form 5500 Series

Employer Identification Number (EIN):
263347931
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000135062 EVOLVE MD ACTIVE 2017-12-11 2027-12-31 - 832 DUNLAWTON SUITE E, PORT ORANGE, FL, 32127
G16000087221 GASTRO CENTER OF FLORIDA ACTIVE 2016-08-16 2026-12-31 - PO BOX 2616, NEW SMYRNA BEACH, FL, 32170

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-15 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127 -
CHANGE OF MAILING ADDRESS 2022-04-15 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127 -
REGISTERED AGENT NAME CHANGED 2022-04-15 DECARLI, ANTONIO -
REGISTERED AGENT ADDRESS CHANGED 2022-04-15 1844 OLD MISSION RD, EDGEWATER, FL 32132 -
CONVERSION 2012-12-18 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P12000005405. CONVERSION NUMBER 300000127563

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-07-16
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-01-27

USAspending Awards / Financial Assistance

Date:
2020-05-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
108500.00
Total Face Value Of Loan:
108500.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$87,300
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$87,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$88,187.55
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $87,300

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Date of last update: 02 Aug 2025

Sources: Florida Department of State