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PHYSICIAN WOUND SOLUTIONS LLC - Florida Company Profile

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Company Details

Entity Name: PHYSICIAN WOUND SOLUTIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Jun 2018 (7 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 19 Sep 2023 (2 years ago)
Document Number: L18000144677
FEI/EIN Number 83-1144874
Address: 5021 S Highway 17/92, Casselberry, FL, 32707, US
Mail Address: 5021 S Highway 17/92, Casselberry, FL, 32707, US
ZIP code: 32707
City: Casselberry
County: Seminole
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
001-100-725
State:
ALABAMA

Key Officers & Management

Name Role Address
Raven Peter Member 5021 S Highway 17/92, Casselberry, FL, 32707
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324

National Provider Identifier

NPI Number:
1235604257
Certification Date:
2025-01-07

Authorized Person:

Name:
PETER RAVEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
831144874
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000116025 APOLLO MEDICAL SUPPLY ACTIVE 2018-10-26 2028-12-31 - 5021 S HWY 17/92, CASSELBERRY, FL, 32707
G18000101162 APOLLO MEDICAL SUPPLIES EXPIRED 2018-09-12 2023-12-31 - 1850 FOREST GLEN WAY, ST AUGUSTINE, FL, 32092

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-09 5021 S Highway 17/92, Casselberry, FL 32707 -
CHANGE OF MAILING ADDRESS 2024-04-09 5021 S Highway 17/92, Casselberry, FL 32707 -
LC STMNT OF RA/RO CHG 2023-09-19 - -
REGISTERED AGENT NAME CHANGED 2023-09-19 CT CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2023-09-19 1200 S PINE ISLAND RD, PLANTATION, FL 33324 -
LC AMENDMENT 2019-11-01 - -

Documents

Name Date
ANNUAL REPORT 2024-04-09
CORLCRACHG 2023-09-19
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-29
LC Amendment 2019-11-01
ANNUAL REPORT 2019-04-29
Florida Limited Liability 2018-06-12

USAspending Awards / Financial Assistance

Date:
2021-02-01
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:
32687.00
Total Face Value Of Loan:
32687.00
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:
20424.00
Total Face Value Of Loan:
20424.00
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:
20424.00
Total Face Value Of Loan:
20424.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$20,424
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,424
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,607.54
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $20,424
Jobs Reported:
4
Initial Approval Amount:
$32,687
Date Approved:
2021-01-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$32,687
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$32,939.54
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $32,683
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State