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SUSAN PATRICK RODELL, M.D., P.A.

SUSAN PATRICK RODELL, M.D., P.A.

Company Details

Entity Name:	SUSAN PATRICK RODELL, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	05 Feb 2001 (24 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	29 Oct 2013 (11 years ago)
Document Number:	P01000012911
FEI/EIN Number	651073459
Address:	801 MEADOWS RD., STE 114, BOCA RATON, FL, 33486
Mail Address:	801 MEADOWS RD., STE 114, BOCA RATON, FL, 33486
ZIP code:	33486
County:	Palm Beach
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1801942370

2007-01-26

2008-08-27

801 MEADOWS RD, SUITE 114, BOCA RATON, FL, 334862346, US

801 MEADOWS RD, SUITE 114, BOCA RATON, FL, 334862346, US

Contacts

Phone	+1 561-750-3520
Fax	5617508009

Authorized person

Name	DR. SUSAN PATRICK RODELL
Role	INTERNAL MEDICINE PHYSICIAN
Phone	5617503520

Taxonomy

Taxonomy Code	207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SUSAN P RODELL M.D. P.A. PROFIT SHARING PLAN

2020

651073459

2021-10-14

SUSAN PATRICK RODELL M.D. P.A.

1

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	9545994994
Plan sponsor’s address	801 MEADOWS ROAD SUITE 114, BOCA RATON, FL, 33486

SUSAN P RODELL M.D. P.A. PROFIT SHARING PLAN

2019

651073459

2020-10-15

SUSAN PATRICK RODELL M.D. P.A.

2

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	9545994994
Plan sponsor’s address	801 MEADOWS ROAD SUITE 114, BOCA RATON, FL, 33486

SUSAN P RODELL M.D. P.A. PROFIT SHARING PLAN

2017

651073459

2018-04-13

SUSAN PATRICK RODELL M.D. P.A.

3

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	9545994994
Plan sponsor’s address	801 MEADOWS ROAD SUITE 114, BOCA RATON, FL, 33486

SUSAN P RODELL M.D. P.A. PROFIT SHARING PLAN

2016

651073459

2018-04-13

SUSAN PATRICK RODELL M.D. P.A.

3

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	9545994994
Plan sponsor’s address	801 MEADOWS ROAD SUITE 114, BOCA RATON, FL, 33486

SUSAN P RODELL M.D. P.A. PROFIT SHARING PLAN

2015

651073459

2018-04-13

SUSAN PATRICK RODELL M.D. P.A.

4

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	9545994994
Plan sponsor’s address	801 MEADOWS ROAD SUITE 114, BOCA RATON, FL, 33486

SUSAN P RODELL M.D. P.A. PROFIT SHARING PLAN

2014

651073459

2018-04-13

SUSAN PATRICK RODELL M.D. P.A.

3

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	9545994994
Plan sponsor’s address	801 MEADOWS ROAD SUITE 114, BOCA RATON, FL, 33486

Agent

Name	Role	Address
RODELL SUSAN PMD	Agent	2601 NE 36TH STREET, LIGHTHOUSE POINT, FL, 33064

President

Name	Role	Address
RODELL SUSAN PMD	President	2601 NE 36TH STREET, LIGHTHOUSE POINT, FL, 33064

Director

Name	Role	Address
RODELL SUSAN PMD	Director	2601 NE 36TH STREET, LIGHTHOUSE POINT, FL, 33064

Events

Event Type	Filed Date	Value	Description
REINSTATEMENT	2013-10-29	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2012-09-28	No data	No data
CANCEL ADM DISS/REV	2010-05-27	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2009-09-25	No data	No data
REGISTERED AGENT ADDRESS CHANGED	2007-10-09	2601 NE 36TH STREET, LIGHTHOUSE POINT, FL 33064	No data
REINSTATEMENT	2007-10-09	No data	No data
REGISTERED AGENT NAME CHANGED	2007-10-09	RODELL, SUSAN P, MD	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2003-09-19	No data	No data
CHANGE OF MAILING ADDRESS	2002-06-16	801 MEADOWS RD., STE 114, BOCA RATON, FL 33486	No data
CHANGE OF PRINCIPAL ADDRESS	2002-06-16	801 MEADOWS RD., STE 114, BOCA RATON, FL 33486	No data

Documents

Name	Date
ANNUAL REPORT	2024-05-01
ANNUAL REPORT	2023-04-10
ANNUAL REPORT	2022-03-03
ANNUAL REPORT	2021-03-15
ANNUAL REPORT	2020-07-20
ANNUAL REPORT	2019-04-26
ANNUAL REPORT	2018-05-01
ANNUAL REPORT	2017-03-14
ANNUAL REPORT	2016-01-23
ANNUAL REPORT	2015-04-29
ANNUAL REPORT	2014-01-02
REINSTATEMENT	2013-10-29
ANNUAL REPORT	2011-03-21
REINSTATEMENT	2010-05-27
ANNUAL REPORT	2008-03-31
REINSTATEMENT	2007-10-09
ANNUAL REPORT	2002-06-16
Domestic Profit	2001-02-05

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

8752088503

2021-03-10

0455

PPS

801 Meadows Rd Ste 114, Boca Raton, FL, 33486-2346

Loan Status Date	2021-11-11
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	29212
Loan Approval Amount (current)	29212
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	45120
Servicing Lender Name	Valley National Bank
Servicing Lender Address	615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Boca Raton, PALM BEACH, FL, 33486-2346
Project Congressional District	FL-23
Number of Employees	2
NAICS code	621112
Borrower Race	White
Borrower Ethnicity	Unknown/NotStated
Business Type	Professional Association
Originating Lender ID	45120
Originating Lender Name	Valley National Bank
Originating Lender Address	PASSAIC, NJ
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	29382.4
Forgiveness Paid Date	2021-10-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State