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VOLUSIA ORTHOPAEDIC TRAUMA CALL ASSOCIATES, LLC - Florida Company Profile

Company Details

Entity Name: VOLUSIA ORTHOPAEDIC TRAUMA CALL ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

VOLUSIA ORTHOPAEDIC TRAUMA CALL ASSOCIATES, 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: 02 Jun 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Oct 2024 (6 months ago)
Document Number: L16000110382
FEI/EIN Number 300950557

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

Address: 1871 LPGA Blvd, Daytona Beach, FL, 32117, US
Mail Address: 1871 LPGA Blvd., Daytona Beach, FL, 32117, US
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932657335 2016-09-14 2021-07-07 1871 LPGA BLVD, DAYTONA BEACH, FL, 321177108, US 1871 LPGA BLVD, DAYTONA BEACH, FL, 321177108, US

Contacts

Phone +1 386-255-4596
Phone +1 386-366-8181

Authorized person

Name DR. ALBERT W GILLESPY
Role C.E.O.
Phone 3862554596

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer STATE LICENSE - AHCA
Number 1396
State FL

Key Officers & Management

Name Role Address
GILLESPY MARK CM.D. Manager 1075 MASON AVENUE, DAYTONA BEACH, FL, 32117
HATTEN BRIAN R Manager 1075 MASON AVENUE, DAYTONA BEACH, FL, 32117
MCCALL TODD A Manager 1075 MASON AVENUE, DAYTON BEACH, FL, 32117
GILLESPY ALBERT WM.D. Manager 1075 MASON AVENUE, DAYTONA BEACH, FL, 32117
BRYAN JAMES MM.D. Manager 1075 MASON AVENUE, DAYTONA BEACH, FL, 32117
MARTIN JEFFREY C Manager 1871 LPGA Blvd., Daytona Beach, FL, 32117
MERKEL KIMBERLY Agent 1871 LPGA BLVD, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-02-06 Baylor, Elizabeth -
REINSTATEMENT 2024-10-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REGISTERED AGENT NAME CHANGED 2023-01-30 MERKEL, KIMBERLY -
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 1871 LPGA BLVD, DAYTONA BEACH, FL 32117 -
LC AMENDMENT 2018-06-22 - -
CHANGE OF MAILING ADDRESS 2017-01-16 1871 LPGA Blvd, Daytona Beach, FL 32117 -
CHANGE OF PRINCIPAL ADDRESS 2017-01-16 1871 LPGA Blvd, Daytona Beach, FL 32117 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
REINSTATEMENT 2024-10-11
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-03-05
LC Amendment 2018-06-22
AMENDED ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2018-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6205137108 2020-04-14 0491 PPP 1871 LPGA BLVD, DAYTONA BEACH, FL, 32117-7108
Loan Status Date 2021-02-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 215300
Loan Approval Amount (current) 215300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address DAYTONA BEACH, VOLUSIA, FL, 32117-7108
Project Congressional District FL-06
Number of Employees 31
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 216857.24
Forgiveness Paid Date 2021-01-13

Date of last update: 01 Apr 2025

Sources: Florida Department of State