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MELVIN C. LU, M.D., L.L.C. - Florida Company Profile

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Company Details

Entity Name: MELVIN C. LU, M.D., L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jan 2013 (13 years ago)
Last Event: CONVERSION
Event Date Filed: 07 Jan 2013 (13 years ago)
Document Number: L13000003678
FEI/EIN Number 59-3545113
Address: 5402 JOBETH DRIVE, NEW PORT RICHEY, FL, 34652, US
Mail Address: PO BOX 1496, NEW PORT RICHEY, FL, 34656-1496, US
ZIP code: 34652
City: New Port Richey
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LU MELVIN C Manager 5402 JOBETH DRIVE, NEW PORT RICHEY, FL, 34652
GASSMAN ALAN S Agent 1245 COURT ST, CLEARWATER, FL, 33756

National Provider Identifier

NPI Number:
1679761563

Authorized Person:

Name:
MR. MELVIN C LU
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3525964431

Form 5500 Series

Employer Identification Number (EIN):
593545113
Plan Year:
2024
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Plan Year:
2022
Number Of Participants:
14
Plan Year:
2021
Number Of Participants:
12

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-14 5402 JOBETH DRIVE, NEW PORT RICHEY, FL 34652 -
CHANGE OF MAILING ADDRESS 2014-03-14 5402 JOBETH DRIVE, NEW PORT RICHEY, FL 34652 -
CONVERSION 2013-01-07 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P98000101297. CONVERSION NUMBER 900000128439

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-02-03
ANNUAL REPORT 2016-02-09
ANNUAL REPORT 2015-01-19

USAspending Awards / Financial Assistance

Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
109900.00
Total Face Value Of Loan:
109900.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$109,912
Date Approved:
2021-03-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$109,912
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$111,224.84
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $109,906
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$109,900
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$109,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$111,334.81
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $109,900

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Date of last update: 03 Aug 2025

Sources: Florida Department of State