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PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC - Florida Company Profile

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Company Details

Entity Name: PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 May 2016 (9 years ago)
Document Number: L16000108711
FEI/EIN Number 812757988
Address: 801 Marshall Farms Rd, Ocoee, FL, 34761, US
Mail Address: 11042 LAKE BUTLER BLVD, WINDERMERE, FL, 34786, US
ZIP code: 34761
City: Ocoee
County: Orange
Place of Formation: FLORIDA

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

National Provider Identifier

NPI Number:
1952750713
Certification Date:
2024-09-14

Authorized Person:

Name:
PAUL F SHULER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4076143171

Form 5500 Series

Employer Identification Number (EIN):
812757988
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
2
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
12100.00
Total Face Value Of Loan:
12100.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$12,100
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$12,209.24
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $12,100

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Date of last update: 01 Aug 2025

Sources: Florida Department of State