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CARROLLWOOD MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: CARROLLWOOD MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CARROLLWOOD MEDICAL GROUP, 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: 21 Jul 2016 (9 years ago)
Document Number: L16000137503
FEI/EIN Number 81-3427963

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

Mail Address: 5901 WEBB ROAD, TAMPA, FL, 33615, US
Address: 10213 Lake Carroll Way, TAMPA, FL, 33618, US
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
REVELLO PATRICIA Manager 3646 MARBURY COURT, LAND O'LAKES,, FL, 33638
BUBLEY & BUBLEY, P.A. Agent -

National Provider Identifier

NPI Number:
1982150348
Certification Date:
2025-02-10

Authorized Person:

Name:
ANTONIO CALVO
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8138855398

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-11-22 10213 Lake Carroll Way, Ste B, TAMPA, FL 33618 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-08-12
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-02-13
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-02-20
Florida Limited Liability 2016-07-21

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
42500.00
Total Face Value Of Loan:
42500.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
42500
Current Approval Amount:
42500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
42885.26

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Date of last update: 01 Jun 2025

Sources: Florida Department of State