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HENRY E PAEZ, M.D., P.A.

Company Details

Entity Name: HENRY E PAEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jul 2002 (23 years ago)
Document Number: P02000075964
FEI/EIN Number 562282875
Address: 1898 SW 27TH AVENUE ,, SUITE 1, MIAMI, FL, 33145
Mail Address: 1898 SW 27TH AVENUE ,, SUITE 1, MIAMI, FL, 33145
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649310491 2007-02-08 2020-08-22 3125 DAY AVENUE, MIAMI, FL, 33133, US 1898 SW 27TH AVE, SUITE #1, MIAMI, FL, 331452445, US

Contacts

Phone +1 305-447-8777
Fax 3054478126

Authorized person

Name HENRY E PAEZ
Role OWNER
Phone 3054478777

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME81996
State FL
Is Primary Yes

Agent

Name Role Address
Paez Henry E Agent 1898 SW 27TH AVENUE ,, MIAMI, FL, 33145

President

Name Role Address
PAEZ HENRY E President 3125 DAY AVE, MIAMI, FL, 33133

Director

Name Role Address
PADILLA SANTIAGO DALMARIS Director 3125 DAY AVENUE, MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-04-30 Paez, Henry E No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-30 1898 SW 27TH AVENUE ,, SUITE 1, MIAMI, FL 33145 No data
CHANGE OF MAILING ADDRESS 2011-04-14 1898 SW 27TH AVENUE ,, SUITE 1, MIAMI, FL 33145 No data
CHANGE OF PRINCIPAL ADDRESS 2008-03-13 1898 SW 27TH AVENUE ,, SUITE 1, MIAMI, FL 33145 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-04-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5240157703 2020-05-01 0455 PPP 1898 SW 27TH AVE STE 1, MIAMI, FL, 33145-2445
Loan Status Date 2021-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 28000
Loan Approval Amount (current) 28000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description New Business or 2 years or less
Project Address MIAMI, MIAMI-DADE, FL, 33145-2445
Project Congressional District FL-27
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 28150.93
Forgiveness Paid Date 2021-02-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State