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DR. PHILLIPS MEDICAL WELLNESS CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: DR. PHILLIPS MEDICAL WELLNESS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DR. PHILLIPS MEDICAL WELLNESS 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: 06 Oct 2017 (8 years ago)
Document Number: L17000207114
FEI/EIN Number 82-3009090

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

Address: 2915 LAKEVIEW DRIVE, CASSELBERRY, FL, 32730, US
Mail Address: 2915 LAKEVIEW DRIVE, CASSELBERRY, FL, 32730, US
ZIP code: 32730
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PHILLIPS MARYAM Manager 2915 LAKEVIEW DRIVE, CASSELBERRY, FL, 32730
SADRACK RIDA Member 2915 LAKEVIEW DRIVE, CASSELBERRY, FL, 32730
PHILLIPS MARYAM Agent 2915 LAKEVIEW DRIVE, CASSELBERRY, FL, 32730

National Provider Identifier

NPI Number:
1225549603
Certification Date:
2021-03-25

Authorized Person:

Name:
DR. MARYAM PHILLIPS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4073356945

Form 5500 Series

Employer Identification Number (EIN):
823009090
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-04 2915 LAKEVIEW DRIVE, 1001, CASSELBERRY, FL 32730 -
CHANGE OF MAILING ADDRESS 2021-01-12 2915 LAKEVIEW DRIVE, 1001, CASSELBERRY, FL 32730 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-12 2915 LAKEVIEW DRIVE, 1001, CASSELBERRY, FL 32730 -
REGISTERED AGENT NAME CHANGED 2020-05-07 PHILLIPS, MARYAM -

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-01-17
ANNUAL REPORT 2018-01-15
Florida Limited Liability 2017-10-06

USAspending Awards / Financial Assistance

Date:
2020-04-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-13
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:
59500.00
Total Face Value Of Loan:
59500.00

Paycheck Protection Program

Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
59500
Current Approval Amount:
59500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
59849.22

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Date of last update: 02 Jun 2025

Sources: Florida Department of State