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PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC - Florida Company Profile

Company Details

Entity Name: PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER 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: 26 May 2016 (9 years ago)
Document Number: L16000108711
FEI/EIN Number 812757988

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

Address: 801 Marshall Farms Rd, Ocoee, FL, 34761, US
Mail Address: 11042 LAKE BUTLER BLVD, WINDERMERE, FL, 34786, US
ZIP code: 34761
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952750713 2016-06-11 2024-09-14 801 MARSHALL FARMS RD, OCOEE, FL, 347613316, US 801 MARSHALL FARMS RD, OCOEE, FL, 347613316, US

Contacts

Phone +1 407-906-3621
Fax 4076143171

Authorized person

Name PAUL F SHULER
Role MANAGER
Phone 9203448665

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PFS PENSION PLAN 2019 812757988 2020-10-12 PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079063621
Plan sponsor’s address 11042 LAKE BUTLER BLVD., WINDERMERE, FL, 34786
PFS PENSION PLAN 2018 812757988 2019-10-15 PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4079063621
Plan sponsor’s address 11042 LAKE BUTLER BLVD., WINDERMERE, FL, 34786

Key Officers & Management

Name Role Address
SHULER PAUL F Manager 11042 LAKE BUTLER BLVD, WINDERMERE, FL, 34786
SHULER PAUL F Agent 11042 LAKE BUTLER BLVD, WINDERMERE, FL, 34786

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-04 801 Marshall Farms Rd, Ocoee, FL 34761 -

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-03-11
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-12
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-06
Florida Limited Liability 2016-05-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7620557706 2020-05-01 0491 PPP 801 MARSHALL FARMS RD, OCOEE, FL, 34761-3316
Loan Status Date 2021-05-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 12100
Loan Approval Amount (current) 12100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address OCOEE, ORANGE, FL, 34761-3316
Project Congressional District FL-11
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 12209.24
Forgiveness Paid Date 2021-04-01

Date of last update: 01 Apr 2025

Sources: Florida Department of State