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BLESSILDA B. LIU, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: BLESSILDA B. LIU, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLESSILDA B. LIU, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: 31 May 2000 (25 years ago)
Document Number: P00000052786
FEI/EIN Number 593649487

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

Address: 942 E NORVELL BRYANT HWY, HERNANDO, FL, 34442, US
Mail Address: PO BOX 640524, BEVERLY HILLS, FL, 34464
ZIP code: 34442
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174712970 2007-10-17 2010-12-07 2623 N FOREST RIDGE BLVD, HERNANDO, FL, 344425123, US 2623 N FOREST RIDGE BLVD, HERNANDO, FL, 344425123, US

Contacts

Phone +1 352-746-4684
Fax 3527465784

Authorized person

Name DR. BLESSILDA BOHOLST LIU
Role INTERNAL MEDICINE
Phone 3527464684

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME0072471
State FL
Is Primary Yes

Other Provider Identifiers

Issuer LISCENCE
Number ME0072471
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2023 593649487 2024-10-08 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2023 593649487 2024-10-08 BLESSILDA B. LIU, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2022 593649487 2023-09-29 BLESSILDA B. LIU, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2022 593649487 2023-09-29 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2021 593649487 2022-10-11 BLESSILDA B. LIU, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2021 593649487 2022-10-11 BLESSILDA B. LIU, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address 942 EAST NORVELL BRYANT HIGHWAY, HERNANDO, FL, 34442
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2020 593649487 2021-10-14 BLESSILDA B. LIU, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 640524, BEVERLY HILLS, FL, 344640524
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2020 593649487 2021-10-14 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 640524, BEVERLY HILLS, FL, 34464
BLESSILDA B. LIU, M.D., P.A. CASH BALANCE PLAN & TRUST 2019 593649487 2020-09-26 BLESSILDA B. LIU, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 640524, BEVERLY HILLS, FL, 34464
BLESSILDA B. LIU, M.D., P.A. 401(K) PLAN 2019 593649487 2020-06-25 BLESSILDA B. LIU, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3524198924
Plan sponsor’s address P.O. BOX 650524, BEVERLY HILLS, FL, 344640524

Key Officers & Management

Name Role Address
LIU BLESSILDA B President 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429
LIU BLESSILDA B Secretary 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429
LIU BLESSILDA B Treasurer 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429
LIU ALEXANDER O Vice President 442 S.W. 1ST PLACE, CRYSTAL RIVER, FL, 34429
LIU BLESSILDA B Agent 942 E NORVELL BRYANT HWY, HERNANDO, FL, 34442

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-27 942 E NORVELL BRYANT HWY, HERNANDO, FL 34442 -
REGISTERED AGENT ADDRESS CHANGED 2015-04-27 942 E NORVELL BRYANT HWY, HERNANDO, FL 34442 -
CHANGE OF MAILING ADDRESS 2001-04-02 942 E NORVELL BRYANT HWY, HERNANDO, FL 34442 -

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1522447402 2020-05-04 0491 PPP 942 East Norvelle Bryant Highway, HERNANDO, FL, 34442-2826
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 78475
Loan Approval Amount (current) 78500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Unanswered
Project Address HERNANDO, CITRUS, FL, 34442-2826
Project Congressional District FL-12
Number of Employees 6
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 79232.67
Forgiveness Paid Date 2021-04-14

Date of last update: 02 Apr 2025

Sources: Florida Department of State