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DOCTOR'S DIET PROGRAM OF SOUTH FLORIDA, PLLC - Florida Company Profile

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Company Details

Entity Name: DOCTOR'S DIET PROGRAM OF SOUTH FLORIDA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DOCTOR'S DIET PROGRAM OF SOUTH FLORIDA, PLLC 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: 10 Oct 2017 (8 years ago)
Document Number: L17000209822
FEI/EIN Number 82-3078201

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

Address: 6800 N Dale Mabry Hwy #186, TAMPA, FL, 33614, US
Mail Address: 6800 N Dale Mabry Hwy #186, Tampa, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MILLER DAVID EDO Manager 6420 N 9TH AVE, PENSACOLA, FL, 32504
FABERMAN REBECCA L Manager 6420 N 9TH AVE, PENSACOLA, FL, 32504
MILLER DAVID EDO Agent 6420 N 9TH AVE, PENSACOLA, FL, 32504

National Provider Identifier

NPI Number:
1568014678

Authorized Person:

Name:
JAMES M LOWRANCE
Role:
DIRECTOR OF CLINIC OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
3336C0002X - Clinic Pharmacy
Is Primary:
Yes

Contacts:

Fax:
8132802258

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000153939 DOCTOR'S DIET PROGRAM OF BRADENTON ACTIVE 2021-11-17 2026-12-31 - 6800 N DALE MABRY HWY #186, TAMPA, FL, 33614
G19000079192 DOCTOR'S DIET PROGRAM OF TAMPA EXPIRED 2019-07-23 2024-12-31 - 6800 N DALE MABRY HWY #186, TAMPA, FL, 33614
G19000079193 DOCTOR'S DIET PROGRAM OF WESLEY CHAPEL EXPIRED 2019-07-23 2024-12-31 - 6800 N DALE MABRY HWY #186, TAMPA, FL, 33614
G19000079194 DOCTOR'S DIET PROGRAM OF PLANT CITY EXPIRED 2019-07-23 2024-12-31 - 6800 N DALE MABRY HWY #186, TAMPA, FL, 33614
G19000031942 DDP-AUTO ACTIVE 2019-03-08 2029-12-31 - 6800 N DALE MABRY HWY, STE 186, TAMPA, FL, 33614

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-02-03 6800 N Dale Mabry Hwy #186, TAMPA, FL 33614 -
CHANGE OF MAILING ADDRESS 2020-02-03 6800 N Dale Mabry Hwy #186, TAMPA, FL 33614 -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-02-04
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-27
Florida Limited Liability 2017-10-10

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
16533.75
Total Face Value Of Loan:
16533.75

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
16533.75
Current Approval Amount:
16533.75
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
16650.62

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Date of last update: 01 Jul 2025

Sources: Florida Department of State