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LEWIS FAMILY PSYCHIATRY, LLC - Florida Company Profile

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Company Details

Entity Name: LEWIS FAMILY PSYCHIATRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Dec 2019 (6 years ago)
Document Number: L19000299581
FEI/EIN Number 84-3994069
Address: 2646 DANFORTH TERRACE, WELLINGTON, FL, 33414
Mail Address: 2646 DANFORTH TERRACE, WELLINGTON, FL, 33414
ZIP code: 33414
City: Wellington
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
LEWIS WILLIAM G Manager 2646 DANFORTH TERRACE, WELLINGTON, FL, 33414
LEWIS SARA A Manager 2646 DANFORTH TERRACE, WELLINGTON, FL, 33414

National Provider Identifier

NPI Number:
1275172892
Certification Date:
2019-12-30

Authorized Person:

Name:
SARA ANN LEWIS
Role:
PROVIDER OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
5613030433

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-10-10 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 -

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-03-18
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-23
Florida Limited Liability 2019-12-13

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
11497.00
Total Face Value Of Loan:
11497.00
Date:
2020-05-02
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:
11497.00
Total Face Value Of Loan:
11497.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$11,497
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,497
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $11,497

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Date of last update: 01 Aug 2025

Sources: Florida Department of State