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CLERMONT ONCOLOGY CENTER LLC

Company Details

Entity Name: CLERMONT ONCOLOGY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 Mar 2014 (11 years ago)
Document Number: L14000048228
FEI/EIN Number 46-5180824
Address: 2737 CITRUS TOWER BLVD, CLERMONT, FL 34711
Mail Address: 2737 CITRUS TOWER BLVD, 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
1851701239 2014-05-06 2014-12-10 1361 CITRUS TOWER BLVD, SUITE 202, CLERMONT, FL, 347111924, US 1361 CITRUS TOWER BLVD, SUITE 202, CLERMONT, FL, 347111924, US

Contacts

Phone +1 352-242-1366
Fax 3522421372

Authorized person

Name GOPAL KUNTA
Role PRESIDENT
Phone 9043050299

Taxonomy

Taxonomy Code 207RH0003X - Hematology & Oncology Physician
License Number ME91372
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLERMONT ONCOLOGY CENTER, LLC PROFIT SHARING PLAN 2023 465180824 2024-09-30 CLERMONT ONCOLOGY CENTER, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC DEFINED BENEFIT PLAN 2023 465180824 2024-09-30 CLERMONT ONCOLOGY CENTER, LLC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC DEFINED BENEFIT PLAN 2022 465180824 2023-09-25 CLERMONT ONCOLOGY CENTER, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC PROFIT SHARING PLAN 2022 465180824 2023-09-25 CLERMONT ONCOLOGY CENTER, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC PROFIT SHARING PLAN 2021 465180824 2022-10-07 CLERMONT ONCOLOGY CENTER, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC DEFINED BENEFIT PLAN 2021 465180824 2022-10-07 CLERMONT ONCOLOGY CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC PROFIT SHARING PLAN 2020 465180824 2021-10-14 CLERMONT ONCOLOGY CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC DEFINED BENEFIT PLAN 2020 465180824 2021-10-15 CLERMONT ONCOLOGY CENTER, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC PROFIT SHARING PLAN 2019 465180824 2020-10-15 CLERMONT ONCOLOGY CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711
CLERMONT ONCOLOGY CENTER, LLC DEFINED BENEFIT PLAN 2019 465180824 2020-10-15 CLERMONT ONCOLOGY CENTER, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524241366
Plan sponsor’s address 2737 CITRUS TOWER BLVD., CLERMONT, FL, 34711

Agent

Name Role Address
Kunta, Gopal Agent 2737 CITRUS TOWER BLVD, CLERMONT, FL 34711

Manager

Name Role Address
Kunta, Gopal Manager 2737 CITRUS TOWER BLVD, CLERMONT, FL 34711

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-10 2737 CITRUS TOWER BLVD, CLERMONT, FL 34711 No data
CHANGE OF MAILING ADDRESS 2020-04-10 2737 CITRUS TOWER BLVD, CLERMONT, FL 34711 No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-10 2737 CITRUS TOWER BLVD, CLERMONT, FL 34711 No data
REGISTERED AGENT NAME CHANGED 2015-02-23 Kunta, Gopal No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-02-13
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-02-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8358477105 2020-04-15 0491 PPP 2737 CITRUS TOWER BLVD, CLERMONT, FL, 34711-6699
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 123700
Loan Approval Amount (current) 123700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 342931
Servicing Lender Name Mainstreet Community Bank of Florida
Servicing Lender Address 204 S Woodland Blvd, DE LAND, FL, 32720-5414
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CLERMONT, LAKE, FL, 34711-6699
Project Congressional District FL-11
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 342931
Originating Lender Name Mainstreet Community Bank of Florida
Originating Lender Address DE LAND, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 125153.47
Forgiveness Paid Date 2021-06-22

Date of last update: 21 Feb 2025

Sources: Florida Department of State