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WEIRSDALE FAMILY HEALTH CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: WEIRSDALE FAMILY HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Sep 2000 (25 years ago)
Last Event: AMENDMENT
Event Date Filed: 24 Sep 2012 (13 years ago)
Document Number: P00000087592
FEI/EIN Number 593670986
Address: 16400 S HWY 25, WEIRSDALE, FL, 32195
Mail Address: PO BOX 8, WEIRSDALE, FL, 32195
ZIP code: 32195
City: Weirsdale
County: Marion
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHANG KHAI M President 390 S. CENTRAL STREET, UMATILLA, FL, 32784
ZAMAN WAHEEDUZ M Secretary 390 S. CENTRAL STREET, UMATILLA, FL, 32784
CHEEMA SHAHBAZ M Vice President 390 S. CENTRAL STREET, UMATILLA, FL, 32784
Patten Carl W Auth 18550 Hwy 441, Mount Dora, FL, 32757
CHANG KHAI M Agent 18550 HIGHWAY 441, MOUNT DORA, FL, 32757

National Provider Identifier

NPI Number:
1669548392
Certification Date:
2023-07-03

Authorized Person:

Name:
DHARTI BISHT
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3528210553

Events

Event Type Filed Date Value Description
AMENDMENT 2012-09-24 - -
REGISTERED AGENT NAME CHANGED 2012-09-24 CHANG, KHAI M.D. -
REGISTERED AGENT ADDRESS CHANGED 2012-09-24 18550 HIGHWAY 441, MOUNT DORA, FL 32757 -
CHANGE OF MAILING ADDRESS 2011-04-21 16400 S HWY 25, WEIRSDALE, FL 32195 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-20 16400 S HWY 25, WEIRSDALE, FL 32195 -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-02-27
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-02-13

USAspending Awards / Financial Assistance

Date:
2020-05-06
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:
122300.00
Total Face Value Of Loan:
122300.00

Paycheck Protection Program

Jobs Reported:
20
Initial Approval Amount:
$122,300
Date Approved:
2020-05-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$122,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$123,003.22
Servicing Lender:
Citizens State Bank of New Castle
Use of Proceeds:
Payroll: $122,300

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Date of last update: 01 Aug 2025

Sources: Florida Department of State