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BENJAMIN DEVRIES DO LLC - Florida Company Profile

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Company Details

Entity Name: BENJAMIN DEVRIES DO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jul 2019 (6 years ago)
Document Number: L19000185732
FEI/EIN Number 84-2365992
Address: 1573 S FT HARRISON AVE., CLEARWATER, FL, 33753
Mail Address: 1573 S FT HARRISON AVE., CLEARWATER, FL, 33753
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DEVRIES BENJAMIN Manager 11192 HARBORSIDE DR, LARGO, FL, 33773
DeVries Lynn Authorized Representative 11192 Harborside Dr, Largo, FL, 33773
DEVRIES BENJAMIN R Agent 11192 HARBORSIDE DR., LARGO, FL, 33773

National Provider Identifier

NPI Number:
1558916494
Certification Date:
2020-08-11

Authorized Person:

Name:
BENJAMIN DEVRIES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-03-17
Florida Limited Liability 2019-07-18

USAspending Awards / Financial Assistance

Date:
2020-06-23
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:
5997.00
Total Face Value Of Loan:
5997.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$5,997
Date Approved:
2020-06-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$5,997
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$6,048.91
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $0
Utilities: $950
Mortgage Interest: $0
Rent: $5,047
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0

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Date of last update: 01 Aug 2025

Sources: Florida Department of State