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PREMIER GASTROENTEROLOGY, P.A. - Florida Company Profile

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Company Details

Entity Name: PREMIER GASTROENTEROLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Oct 2001 (24 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 05 May 2004 (21 years ago)
Document Number: P01000102348
FEI/EIN Number 593753564
Address: 12102 CORTEZ BLVD., BROOKSVILLE, FL, 34613, US
Mail Address: 12102 CORTEZ BLVD., BROOKSVILLE, FL, 34613, US
ZIP code: 34613
City: Brooksville
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HIBA MUHAMMED R President 12102 CORTEZ BLVD., BROOKSVILLE, FL, 34613
HIBA MUHAMMED R Secretary 12102 CORTEZ BLVD., BROOKSVILLE, FL, 34613
HIBA MUHAMMED R Treasurer 12102 CORTEZ BLVD., BROOKSVILLE, FL, 34613
HIBA MUHAMMED R Agent 12102 CORTEZ BLVD., BROOKSVILLE, FL, 34613

National Provider Identifier

NPI Number:
1235246240
Certification Date:
2021-10-18

Authorized Person:

Name:
DR. MUHAMMED-RODWAN ALI HIBA
Role:
OWNER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
3525970550

Form 5500 Series

Employer Identification Number (EIN):
593753564
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
15
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-02-18 12102 CORTEZ BLVD., BROOKSVILLE, FL 34613 -
CHANGE OF MAILING ADDRESS 2019-02-18 12102 CORTEZ BLVD., BROOKSVILLE, FL 34613 -
REGISTERED AGENT ADDRESS CHANGED 2019-02-18 12102 CORTEZ BLVD., BROOKSVILLE, FL 34613 -
CANCEL ADM DISS/REV 2004-05-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2024-03-09
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-28

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:
107487.00
Total Face Value Of Loan:
107487.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$107,487
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$107,487
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$108,908.22
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $107,487

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Date of last update: 03 Aug 2025

Sources: Florida Department of State