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GOPAL TATAMBHOTLA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: GOPAL TATAMBHOTLA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Mar 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 21 Oct 2003 (22 years ago)
Document Number: P00000028674
FEI/EIN Number 593631045
Address: 534, NORTH LECANTO HWAY, LECANTO, FL, 34461
Mail Address: P.O. BOX 700, LECANTO, FL, 34460-0700
ZIP code: 34461
City: Lecanto
County: Citrus
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TATAMBHOTLA GOPAL Director 2280, NORTH OVERLOOK PATH, HERNANDO, FL, 34442
TATAMBHOTLA GOPAL President 2280, NORTH OVERLOOK PATH, HERNANDO, FL, 34442
TATAMBHOTLA GOPAL Agent 2280, NORTH OVERLOOK PATH, HERNADO, FL, 34442

National Provider Identifier

NPI Number:
1679887988

Authorized Person:

Name:
DR. GOPAL TATAMBHOTLA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
3525277215

Form 5500 Series

Employer Identification Number (EIN):
593631045
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2006-04-28 534, NORTH LECANTO HWAY, LECANTO, FL 34461 -
REGISTERED AGENT ADDRESS CHANGED 2006-04-28 2280, NORTH OVERLOOK PATH, HERNADO, FL 34442 -
CANCEL ADM DISS/REV 2003-10-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-06
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-23
ANNUAL REPORT 2015-04-01

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
68800.00
Total Face Value Of Loan:
68800.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$68,800
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$68,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$69,676.49
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $68,800

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Date of last update: 02 Aug 2025

Sources: Florida Department of State