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ELLENTON FAMILY PRACTICE DIRECT PLLC - Florida Company Profile

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Company Details

Entity Name: ELLENTON FAMILY PRACTICE DIRECT PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Jan 2016 (10 years ago)
Document Number: L16000001454
FEI/EIN Number 811042237
Address: 907 25TH DRIVE EAST, ELLENTON, FL, 34222, US
Mail Address: 1005 Meadow Breeze Lane, sarasota, FL, 34240, US
ZIP code: 34222
City: Ellenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ULRICH, SCARLETT, WICKMAN & DEAN, PA Agent 713 S. ORANGE AVENUE, SARASOTA, FL, 34236
Kulawik Raphael Manager 1005 Meadow Breeze Lane, sarasota, FL, 34240

National Provider Identifier

NPI Number:
1124471503

Authorized Person:

Name:
MR. DAVID ALLAN HERVIG
Role:
OFFICE MANAGE AND PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-08-30 907 25TH DRIVE EAST, ELLENTON, FL 34222 -
CHANGE OF PRINCIPAL ADDRESS 2018-05-01 907 25TH DRIVE EAST, ELLENTON, FL 34222 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-08-30
ANNUAL REPORT 2022-05-11
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-04-22
ANNUAL REPORT 2019-09-02
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-28
Florida Limited Liability 2016-01-05

USAspending Awards / Financial Assistance

Date:
2022-01-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
501700.00
Total Face Value Of Loan:
501700.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
50300.00
Total Face Value Of Loan:
50300.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
50300.00
Total Face Value Of Loan:
50300.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$50,300
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$51,016.6
Servicing Lender:
Bank OZK
Use of Proceeds:
Payroll: $50,300

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Date of last update: 02 Aug 2025

Sources: Florida Department of State