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DOUGLAS F. LIEB, M.D., LLC - Florida Company Profile

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Company Details

Entity Name: DOUGLAS F. LIEB, M.D., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DOUGLAS F. LIEB, M.D., 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: 22 Apr 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Oct 2017 (8 years ago)
Document Number: L16000082287
FEI/EIN Number 81-2288672

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

Address: 1053 MEDICAL CENTER DR., ORANGE CITY, FL, 32763, US
Mail Address: 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763, US
ZIP code: 32763
City: Orange City
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Lieb Douglas FDr. Auth 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763
Lieb Douglas FDr. Agent 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763
LIEB DOUGLAS F Manager 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763

National Provider Identifier

NPI Number:
1598119919
Certification Date:
2022-03-31

Authorized Person:

Name:
DOUGLAS F LIEB
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
3864560219

Form 5500 Series

Employer Identification Number (EIN):
812288672
Plan Year:
2023
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
10
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000057031 ADVANCED RETINA ASSOCIATES ACTIVE 2016-06-09 2026-12-31 - 1712 COTTONWOOD CREEK PL, LAKE MARY, FL, 32746
G16000051431 THE RETINA INSTITUTE EXPIRED 2016-05-23 2021-12-31 - 1712 COTTONWOOD CREEK PL, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-03-11 1053 MEDICAL CENTER DR., SUITE 242, ORANGE CITY, FL 32763 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-11 1053 Medical Center Dr, Suite 242, Orange City, FL 32763 -
REGISTERED AGENT NAME CHANGED 2020-05-26 Lieb, Douglas F, Dr. -
CHANGE OF PRINCIPAL ADDRESS 2019-03-31 1053 MEDICAL CENTER DR., SUITE 242, ORANGE CITY, FL 32763 -
REINSTATEMENT 2017-10-16 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -

Documents

Name Date
ANNUAL REPORT 2025-02-05
AMENDED ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-02-01
AMENDED ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-01-13

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$262,050
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$262,050
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$263,673.25
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $262,050
Jobs Reported:
14
Initial Approval Amount:
$100,914
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,914
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$101,827.83
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $100,914

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Date of last update: 03 Jul 2025

Sources: Florida Department of State