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COLLEEN NIEDZWIECKI, MD PA - Florida Company Profile

Company Details

Entity Name: COLLEEN NIEDZWIECKI, MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COLLEEN NIEDZWIECKI, MD PA 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: 06 Dec 2001 (23 years ago)
Document Number: P01000121459
FEI/EIN Number 800004700

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

Address: 4657 AYRON TERRACE, PALM HARBOR, FL, 34685
Mail Address: 4657 AYRON TERRACE, PALM HARBOR, FL, 34685
ZIP code: 34685
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528344157 2011-10-27 2011-10-27 4657 AYRON TER, PALM HARBOR, FL, 346854012, US 2730 N MCMULLEN BOOTH RD, CLEARWATER, FL, 337613302, US

Contacts

Phone +1 727-902-6116
Phone +1 727-791-7300

Authorized person

Name DR. COLLEEN NIEDZWIECKI
Role PRESIDENT
Phone 7279026116

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
License Number ME68554
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
NIEDZWIECKI COLLEEN Director 4657 AYRON TERRACE, PALM HARBOR, FL, 34685
COLLEEN NIEDZWIECKI, MD PA Agent -

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-19 Colleen Niedzwiecki MD PA -
REGISTERED AGENT ADDRESS CHANGED 2019-02-19 4657 AYRON TERRACE, PALM HARBOR, FL 34685 -

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-01-04
ANNUAL REPORT 2017-01-31
ANNUAL REPORT 2016-08-29
ANNUAL REPORT 2015-04-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5342118307 2021-01-25 0455 PPS 4657 Ayron Ter, Palm Harbor, FL, 34685-4012
Loan Status Date 2021-10-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37285
Loan Approval Amount (current) 37285
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 Palm Harbor, PINELLAS, FL, 34685-4012
Project Congressional District FL-13
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 37513.89
Forgiveness Paid Date 2021-09-08
5452027407 2020-05-12 0455 PPP 4657 Ayron Terrace, Palm Harbor, FL, 34685
Loan Status Date 2021-04-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37285
Loan Approval Amount (current) 37285
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 Palm Harbor, PINELLAS, FL, 34685-1000
Project Congressional District FL-13
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 37609.17
Forgiveness Paid Date 2021-03-24

Date of last update: 03 Mar 2025

Sources: Florida Department of State