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PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC - Florida Company Profile

Company Details

Entity Name: PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PENINSULA PEDIATRICS OF WEST FLORIDA, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 30 Sep 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Oct 2016 (8 years ago)
Document Number: L15000166683
FEI/EIN Number 81-1183199

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13163 66th Street N, LARGO, FL, 33773, US
Mail Address: 13163 66th Street N, LARGO, FL, 33773, US
ZIP code: 33773
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639538713 2016-02-17 2023-06-05 13163 66TH STREET, LARGO, FL, 33773, US 13163 66TH STREET, LARGO, FL, 33773, US

Contacts

Phone +1 727-228-7000
Fax 7272233614

Authorized person

Name DR. STEVEN MICHAEL MOORE
Role OWNER
Phone 7272287000

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number ME 100692
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 018367100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENINSULA PEDIATRICS OF WEST FLORIDA 401(K) PROFIT SHARING PLAN 2023 811183199 2024-08-15 PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 7272287000
Plan sponsor’s address 13163 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2024-08-15
Name of individual signing STEVEN MOORE
Valid signature Filed with authorized/valid electronic signature
PENINSULA PEDIATRICS OF WEST FLORIDA 401(K) PROFIT SHARING PLAN 2022 811183199 2023-10-05 PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 7272287000
Plan sponsor’s address 13131 66TH STREET NORTH, LARGO, FL, 33773

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing STEVEN MOORE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MOORE STEVEN MMD Manager 107 PALMETTO LN, LARGO, FL, 33770
MOORE STEVEN M Agent 107 PALMETTO LN, LARGO, FL, 33770

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000007945 PENINSULA PEDIATRICS ACTIVE 2016-01-21 2026-12-31 - 107 PALMETTO LANE, LARGO, FL, 33770

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-01 13163 66th Street N, LARGO, FL 33773 -
CHANGE OF MAILING ADDRESS 2023-02-01 13163 66th Street N, LARGO, FL 33773 -
REINSTATEMENT 2016-10-13 - -
REGISTERED AGENT NAME CHANGED 2016-10-13 MOORE, STEVEN M -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-05-18
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-05-14
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-04-21
ANNUAL REPORT 2017-03-12
REINSTATEMENT 2016-10-13
Florida Limited Liability 2015-09-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2863227202 2020-04-16 0455 PPP 13131 66th Street North N/A, LARGO, FL, 33771
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 80000
Loan Approval Amount (current) 80000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LARGO, PINELLAS, FL, 33771-0001
Project Congressional District FL-13
Number of Employees 8
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 80855.56
Forgiveness Paid Date 2021-06-02

Date of last update: 01 Mar 2025

Sources: Florida Department of State