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WELLSPAN MEDICAL SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: WELLSPAN MEDICAL SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WELLSPAN MEDICAL SERVICES, 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: 28 Jan 2019 (6 years ago)
Document Number: L19000027589
FEI/EIN Number 83-3626863

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

Address: 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL, 34102, US
Mail Address: 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932666344 2019-02-22 2024-04-09 599 9TH ST N STE 211, NAPLES, FL, 341025625, US 599 9TH ST N STE 211, NAPLES, FL, 341025625, US

Contacts

Phone +1 239-643-7888
Fax 2396434744

Authorized person

Name JOSEPH JOHN REPAY
Role OWNER/PRESIDENT
Phone 2396437888

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELLSPAN MEDICAL SERVICES, LLC 401(K) PLAN 2023 833626863 2024-06-27 WELLSPAN MEDICAL SERVICES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-04-15
Business code 621111
Sponsor’s telephone number 8139567278
Plan sponsor’s address 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing JOSEPH REPAY
Valid signature Filed with authorized/valid electronic signature
WELLSPAN MEDICAL SERVICES, LLC 401(K) PLAN 2022 833626863 2023-07-31 WELLSPAN MEDICAL SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-04-15
Business code 621111
Sponsor’s telephone number 8139567278
Plan sponsor’s address 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing JOSEPH REPAY
Valid signature Filed with authorized/valid electronic signature
WELLSPAN MEDICAL SERVICES, LLC 401(K) PLAN 2021 833626863 2022-07-20 WELLSPAN MEDICAL SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-04-15
Business code 621111
Sponsor’s telephone number 8139567278
Plan sponsor’s address 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2022-07-20
Name of individual signing JOSEPH REPAY
Valid signature Filed with authorized/valid electronic signature
WELLSPAN MEDICAL SERVICES, LLC 401(K) PLAN 2020 833626863 2021-10-06 WELLSPAN MEDICAL SERVICES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-04-15
Business code 621111
Sponsor’s telephone number 8139567278
Plan sponsor’s address 599 TAMIAMI TRAIL N, STE. 308, NAPLES, FL, 34102

Signature of

Role Plan administrator
Date 2021-10-06
Name of individual signing JOSEPH REPAY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
REPAY JOSEPH JMD Manager 599 NINTH STREET NORTH, STE 211, NAPLES, FL, 34102
NOTTINGHAM MARCEY Agent 599 NINTH STREET NORTH, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-31 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL 34102 -
CHANGE OF MAILING ADDRESS 2024-01-31 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL 34102 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-31 599 NINTH STREET NORTH, SUITE 211, NAPLES, FL 34102 -

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-06-25
Florida Limited Liability 2019-01-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7741867200 2020-04-28 0455 PPP 599 9th Street N. Ste 308, NAPLES, FL, 34102
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 49727
Loan Approval Amount (current) 49727
Undisbursed Amount 0
Franchise Name -
Lender Location ID 450956
Servicing Lender Name First Foundation Bank
Servicing Lender Address 18101 Von Karman Ave, Ste 750, IRVINE, CA, 92612-0005
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address NAPLES, COLLIER, FL, 34102-0500
Project Congressional District FL-19
Number of Employees 3
NAICS code 541611
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 451106
Originating Lender Name First Foundation Bank
Originating Lender Address NAPLES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 50294.72
Forgiveness Paid Date 2021-06-22

Date of last update: 03 Apr 2025

Sources: Florida Department of State