| Entity Name: | FARGHALY MEDICAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FARGHALY MEDICAL, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Oct 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L14000155626 |
| FEI/EIN Number |
47-2016955
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3100 US 1 South, ST. AUGUSTINE, FL, 32086, US |
| Mail Address: | 3100 US 1 South, ST. AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114323631 | 2014-11-11 | 2014-11-11 | 100 WHETSTONE PL, SUITE 208, ST AUGUSTINE, FL, 320865774, US | 100 WHETSTONE PL, SUITE 208, ST AUGUSTINE, FL, 320865774, US | |||||||||||||||||||||||||
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| Phone | +1 904-826-7932 |
| Fax | 9048196700 |
Authorized person
| Name | REBECCA BURNSIDE |
| Role | OFFICE MANAGER |
| Phone | 9048267932 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME97900 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PENDING |
| Number | PENDING |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FARGHALY BASANT | Manager | 207 SUNSHINE DRIVE, ST. AUGUSTINE, FL, 32086 |
| WALSH BANKS PLLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000080358 | FARGHALY MED SPA | ACTIVE | 2022-07-06 | 2027-12-31 | - | 3100 US 1 SOUTH, SUITE 4, ST. AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-20 | 228 HILLCREST STREET, ORLANDO, FL 32801 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-25 | 3100 US 1 South, Suite 4, ST. AUGUSTINE, FL 32086 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-25 | 3100 US 1 South, Suite 4, ST. AUGUSTINE, FL 32086 | - |
| REGISTERED AGENT NAME CHANGED | 2017-03-15 | Walsh Banks, PLLC | - |
| LC STMNT CORR/NC | 2014-10-09 | FARGHALY MEDICAL, PLLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-09 |
| AMENDED ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-01-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6340827400 | 2020-05-14 | 0491 | PPP | 3100 US HIGHWAY 1 South, SAINT AUGUSTINE, FL, 32086-6351 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
