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  5. TAMPA LUNG SPECIALISTS, P.A.

TAMPA LUNG SPECIALISTS, P.A. - Florida Company Profile

Company Details

Entity Name: TAMPA LUNG SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TAMPA LUNG SPECIALISTS, 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: 16 Apr 2002 (23 years ago)
Document Number: P02000041179
FEI/EIN Number 680498643

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4129 NORTH ARMENIA AVENUE, SUITE B, TAMPA, FL, 33607
Mail Address: 4129 NORTH ARMENIA AVENUE, SUITE B, TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407971419 2007-03-20 2023-09-20 4129 N ARMENIA AVE, STE B, TAMPA, FL, 336076436, US 4129 N ARMENIA AVE, STE B, TAMPA, FL, 336076436, US

Contacts
Phone +1 813-879-3699
Fax 8138738469

Authorized person
Name PETER S MCINTIRE
Role ADMIN
Phone 8137777823

Taxonomy
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 266378300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA LUNG SPECIALISTS, P. A. 401(K) PLAN 2022 680498643 2023-10-04 TAMPA LUNG SPECIALISTS, P. A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PLAN 2022 680498643 2023-10-12 TAMPA LUNG SPECIALISTS, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PLAN 2022 680498643 2023-10-04 TAMPA LUNG SPECIALISTS, P. A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PROFIT SHARING PLAN 2021 680498643 2022-09-08 TAMPA LUNG SPECIALISTS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PLAN 2021 680498643 2023-10-04 TAMPA LUNG SPECIALISTS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PROFIT SHARING PLAN 2020 680498643 2021-10-15 TAMPA LUNG SPECIALISTS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PLAN 2020 680498643 2023-10-04 TAMPA LUNG SPECIALISTS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P. A. 401(K) PROFIT SHARING PLAN 2019 680498643 2020-10-14 TAMPA LUNG SPECIALISTS, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137777823
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 33607
TAMPA LUNG SPECIALISTS, P.A. 401(K) PLAN 2013 680498643 2014-06-17 TAMPA LUNG SPECIALISTS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 336076493

Signature of
Role Plan administrator
Date 2014-06-17
Name of individual signing ADAM S. KATZ
Valid signature Filed with authorized/valid electronic signature
TAMPA LUNG SPECIALISTS, P.A. 401(K) PLAN 2012 680498643 2013-07-31 TAMPA LUNG SPECIALISTS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8138793699
Plan sponsor’s address 4129 N. ARMENIA AVENUE, TAMPA, FL, 336076493

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing ADAM S. KATZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SIERRA KEVIN P Director 4129 NORTH ARMENIA AVENUE STE B, TAMPA, FL, 33607
KATZ ADAM S Director 4129 NORTH ARMENIA AVENUE STE B, TAMPA, FL, 33607
Bentley Nanette Director 4129 NORTH ARMENIA AVENUE STE B, TAMPA, FL, 33607
Cooperman Jonathan Director 4129 NORTH ARMENIA AVENUE STE B, TAMPA, FL, 33607
PERSANTE ROBERT Agent 2555 ENTERPRISE ROAD, CLEARWATER, FL, 33763

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-02-01 4129 NORTH ARMENIA AVENUE, SUITE B, TAMPA, FL 33607 -
CHANGE OF MAILING ADDRESS 2007-02-01 4129 NORTH ARMENIA AVENUE, SUITE B, TAMPA, FL 33607 -

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-22
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-02-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1763797708 2020-05-01 0455 PPP 4129 N ARMENIA AVE STE B, TAMPA, FL, 33607
Loan Status Date 2021-10-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 368445
Loan Approval Amount (current) 368445
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33607-0039
Project Congressional District FL-14
Number of Employees 18
NAICS code -
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 373530.16
Forgiveness Paid Date 2021-09-21

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PERSANTE ROBERT

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Companies related by address

4129 NORTH ARMENIA AVENUE, SUITE B, TAMPA, FL, 33607

TLS OFFICE, L.L.C. FLORIDA PULMONARY, CRITICAL CARE & SLEEP CONSULTANTS, PL

4129 NORTH ARMENIA AVENUE, SUITE B, TAMPA, FL, 33607

TLS OFFICE, L.L.C. FLORIDA PULMONARY, CRITICAL CARE & SLEEP CONSULTANTS, PL

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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