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  5. ADVANTACARE MULTI-SPECIALTY GROUP, LLC

ADVANTACARE MULTI-SPECIALTY GROUP, LLC - Florida Company Profile

Company Details

Entity Name: ADVANTACARE MULTI-SPECIALTY GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ADVANTACARE MULTI-SPECIALTY GROUP, LLC 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: 21 Dec 2015 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 23 Aug 2021 (4 years ago)
Document Number: L15000210475
FEI/EIN Number 81-0920909

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701, US
Mail Address: 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701, US
ZIP code: 32701
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043674187 2016-04-05 2016-04-05 697 MAITLAND AVE, SUITE 1001, ALTAMONTE SPRINGS, FL, 327016821, US 9 PINE CONE DR, SUITE 104A, PALM COAST, FL, 321378686, US

Contacts
Phone +1 407-539-2111
Fax 4075391211

Authorized person
Name KERRI HERZOG
Role MEMBER
Phone 4075392111

Taxonomy
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANTACARE MULTI-SPECIALTY GROUP, LLC 401(K) PROFIT SHARING PLAN 2023 810920909 2024-04-22 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2024-04-22
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-22
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI- SPECIALTY GROUP, LLC CASH BALANCE PLAN 2023 810920909 2024-04-22 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2024-04-22
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-22
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI-SPECIALTY GROUP, LLC 401(K) PROFIT SHARING PLAN 2022 810920909 2023-07-06 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-06
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI- SPECIALTY GROUP, LLC CASH BALANCE PLAN 2022 810920909 2023-07-05 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-05
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI- SPECIALTY GROUP, LLC CASH BALANCE PLAN 2021 810920909 2022-07-13 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI-SPECIALTY GROUP, LLC 401(K) PROFIT SHARING PLAN 2021 810920909 2022-07-13 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI-SPECIALTY GROUP, LLC 401(K) PROFIT SHARING PLAN 2020 810920909 2021-09-29 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI- SPECIALTY GROUP, LLC CASH BALANCE PLAN 2020 810920909 2021-09-23 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-23
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI- SPECIALTY GROUP, LLC CASH BALANCE PLAN 2019 810920909 2020-10-09 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 65
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-09
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
ADVANTACARE MULTI-SPECIALTY GROUP, LLC 401(K) PROFIT SHARING PLAN 2019 810920909 2020-09-30 ADVANTACARE MULTI-SPECIALTY GROUP, LLC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 4075392111
Plan sponsor’s address 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-30
Name of individual signing KERRIANN FITZPATRICK
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MANCUSO JOHN Manager 697 Maitland Ave, Altamonte Springs, FL, 32701
BARR CHAD AESQ Agent 238 N WESTMONTE DR, ALTAMONTE SPRINGS, FL, 32714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000127871 ADVANTACARE ACTIVE 2022-10-12 2027-12-31 - 697 MAITLAND AVENUE, ALTAMONTE SPRINGS, FL, 32701
G16000058334 ADVANTACARE EXPIRED 2016-06-14 2021-12-31 - 697 MAITLAND AVENUE, ALTAMONTE SPRINGS, FL, 32701

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-12-12 697 MAITLAND AVE, Suite 1001, ALTAMONTE SPRINGS, FL 32701 -
CHANGE OF PRINCIPAL ADDRESS 2024-12-12 697 MAITLAND AVE, Suite 1001, ALTAMONTE SPRINGS, FL 32701 -
LC STMNT OF RA/RO CHG 2021-08-23 - -
REGISTERED AGENT NAME CHANGED 2021-08-23 BARR, CHAD A, ESQ -
REGISTERED AGENT ADDRESS CHANGED 2021-08-23 238 N WESTMONTE DR, STE 200, ALTAMONTE SPRINGS, FL 32714 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-12-12
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-05
CORLCRACHG 2021-08-23
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-05-04
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1421977104 2020-04-10 0491 PPP 697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701-6821
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1163100
Loan Approval Amount (current) 1163100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
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, 32701-6821
Project Congressional District FL-07
Number of Employees 56
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 1173535.59
Forgiveness Paid Date 2021-03-05
7952318304 2021-01-28 0491 PPS 697 Maitland Ave, Altamonte Springs, FL, 32701-6821
Loan Status Date 2022-04-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 617967.5
Loan Approval Amount (current) 617967.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123987
Servicing Lender Name Cogent Bank
Servicing Lender Address 420 S Orange Ave, Ste 150, ORLANDO, FL, 32801
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, 32701-6821
Project Congressional District FL-07
Number of Employees 45
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 123987
Originating Lender Name Cogent Bank
Originating Lender Address ORLANDO, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 624644.98
Forgiveness Paid Date 2022-03-07

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Companies related by address

697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701, US

ADVANTACARE MEDICAL ASSOCIATES, LLC

697 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701, US

ADVANTACARE MEDICAL ASSOCIATES, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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