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BRIAN B. WALLS MD, PLLC - Florida Company Profile

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Company Details

Entity Name: BRIAN B. WALLS MD, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Feb 2016 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Aug 2024 (a year ago)
Document Number: L16000026798
FEI/EIN Number 82-0806097
Address: 500 CROCKETT BLVD., MERRITT ISLAND, FL, 32953, US
Mail Address: 500 CROCKETT BLVD., MERRITT ISLAND, FL, 32953, US
ZIP code: 32953
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WALLS BRIAN B Authorized Member 500 CROCKETT BLVD., MERRITT ISLAND, FL, 32953
WALLS BRIAN B Agent 500 CROCKETT BLVD., MERRITT ISLAND, FL, 32953

National Provider Identifier

NPI Number:
1891165023

Authorized Person:

Name:
DR. BRIAN B WALLS
Role:
PHYSICIAN / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3214542325
Fax:
3214542523

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-08-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REINSTATEMENT 2019-06-04 - -
REGISTERED AGENT NAME CHANGED 2019-06-04 WALLS, BRIAN B -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -

Documents

Name Date
REINSTATEMENT 2024-08-06
REINSTATEMENT 2019-06-04
Florida Limited Liability 2016-02-08

USAspending Awards / Financial Assistance

Date:
2020-07-04
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:
1.00
Total Face Value Of Loan:
20833.00
Date:
2020-06-23
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:
20832.00
Total Face Value Of Loan:
20833.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$20,832
Date Approved:
2020-06-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,833
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,252.51
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $20,833

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Date of last update: 03 Aug 2025

Sources: Florida Department of State