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ELIZABETH DEE, M.D, PLC

Company Details

Entity Name: ELIZABETH DEE, M.D, PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Feb 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Aug 2016 (9 years ago)
Document Number: L14000026931
FEI/EIN Number 46-4841300
Address: 264 Douglas Avenue, Altamonte Springs, FL 32714
Mail Address: 2517 RIVER TREE CIRCLE, SANFORD, FL 32771
ZIP code: 32714
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326455304 2014-07-22 2014-07-24 264 DOUGLAS AVE, ALTAMONTE SPRINGS, FL, 327143336, US 264 DOUGLAS AVE, ALTAMONTE SPRINGS, FL, 327143336, US

Contacts

Phone +1 407-862-8377
Fax 4078628883

Authorized person

Name DR. ELIZABETH ONG DEE
Role OWNER
Phone 4078628377

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
License Number ME 105201
State FL
Is Primary Yes
Taxonomy Code 305R00000X - Preferred Provider Organization
License Number ME 105201
State FL
Is Primary No
Taxonomy Code 305S00000X - Point of Service
License Number ME 105201
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 001535900
State FL

Agent

Name Role Address
DEE, ELIZABETH Agent 2517 RIVER TREE CIRCLE, SANFORD, FL 32771

Authorized Representative

Name Role Address
DEE, ELIZABETH, Dr. Authorized Representative 2517 RIVER TREE CIRCLE, SANFORD, FL 32771

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000125977 CHILDREN'S DOCTORS CLINIC ACTIVE 2020-09-28 2025-12-31 No data 264 DOUGLAS AVE, ALTAMONTE SPRINGS, FL, 32771
G14000061221 CHILDREN'S DOCTORS CLINIC EXPIRED 2014-06-17 2019-12-31 No data 264 DOUGLAS AVENUE, ALTAMONTE SPRINGS, FL, 32714-3336

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-30 264 Douglas Avenue, Altamonte Springs, FL 32714 No data
REGISTERED AGENT ADDRESS CHANGED 2021-07-28 2517 RIVER TREE CIRCLE, SANFORD, FL 32771 No data
REINSTATEMENT 2016-08-05 No data No data
REGISTERED AGENT NAME CHANGED 2016-08-05 DEE, ELIZABETH No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2025-02-17
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-03-19
ANNUAL REPORT 2021-07-28
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-06-27
ANNUAL REPORT 2017-03-14
REINSTATEMENT 2016-08-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5325067710 2020-05-01 0491 PPP 264 DOUGLAS AVE, ALTAMONTE SPRINGS, FL, 32714-3336
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37088
Loan Approval Amount (current) 37088
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address ALTAMONTE SPRINGS, SEMINOLE, FL, 32714-3336
Project Congressional District FL-07
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 37367.43
Forgiveness Paid Date 2021-02-05
6245218501 2021-03-03 0491 PPS 264 Douglas Ave, Altamonte Springs, FL, 32714-3336
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37087
Loan Approval Amount (current) 37087
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Altamonte Springs, SEMINOLE, FL, 32714-3336
Project Congressional District FL-07
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 37282.09
Forgiveness Paid Date 2021-09-15

Date of last update: 21 Feb 2025

Sources: Florida Department of State