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ADVANCED MEDICAL CLINIC, P.A. - Florida Company Profile

Company Details

Entity Name: ADVANCED MEDICAL CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ADVANCED MEDICAL CLINIC, 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: 18 Apr 2002 (23 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 20 Nov 2003 (21 years ago)
Document Number: P02000042272
FEI/EIN Number 010668434

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

Address: 3347 STATE ROAD 7, 206, WELLINGTON, FL, 33449
Mail Address: 3347 STATE ROAD 7, 206, WELLINGTON, FL, 33449
ZIP code: 33449
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447413794 2008-07-08 2013-03-12 3347 STATE ROAD 7, SUITE 206, WELLINGTON, FL, 33467, US 3347 STATE ROAD 7, SUITE 206, WELLINGTON, FL, 334498095, US

Contacts

Phone +1 561-537-4820
Fax 5614343169

Authorized person

Name DR. ISHAN A GUNAWARDENE
Role PRESIDENT & CEO
Phone 5615374820

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME81674
State FL
Is Primary Yes

Other Provider Identifiers

Issuer FL BCBS
Number 33244
State FL
Issuer RR MEDICARE
Number DF6667
State FL

Key Officers & Management

Name Role Address
GUNAWARDENE ISHAN A Director 3347 STATE ROAD 7 STE 206, WELLINGTON, FL, 33449
Vandejen Rik J Agent 7556 LAKE WORTH RD # 105, LAKE WORTH, FL, 33463

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-25 Vandejen, Rik J -
REGISTERED AGENT ADDRESS CHANGED 2012-04-24 7556 LAKE WORTH RD # 105, LAKE WORTH, FL 33463 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-30 3347 STATE ROAD 7, 206, WELLINGTON, FL 33449 -
CHANGE OF MAILING ADDRESS 2009-04-30 3347 STATE ROAD 7, 206, WELLINGTON, FL 33449 -
CANCEL ADM DISS/REV 2003-11-20 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -
NAME CHANGE AMENDMENT 2002-04-29 ADVANCED MEDICAL CLINIC, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6072888504 2021-03-02 0455 PPS 3347 S State Road 7, Wellington, FL, 33449-8148
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45515
Loan Approval Amount (current) 45515
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Wellington, PALM BEACH, FL, 33449-8148
Project Congressional District FL-22
Number of Employees 5
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 45725.74
Forgiveness Paid Date 2021-08-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State