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PHYSICIANS FOR QUALITY HEALTHCARE, INC. - Florida Company Profile

Company Details

Entity Name: PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PHYSICIANS FOR QUALITY HEALTHCARE, INC. 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 Sep 2002 (23 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 Jun 2011 (14 years ago)
Document Number: P02000101140
FEI/EIN Number 141846792

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

Address: 6150 Diamond Centre Ct, Building 100, FORT MYERS, FL, 33912, US
Mail Address: 6150 Diamond Centre Ct, Building 100, FORT MYERS, FL, 33912, US
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407230659 2015-07-17 2022-07-21 6150 DIAMOND CENTRE CT BLDG 100, FORT MYERS, FL, 339124367, US 733 HIGHWAY 466, LADY LAKE, FL, 321596340, US

Contacts

Phone +1 239-768-6396
Fax 2392043000

Authorized person

Name GEORGE GHANEM
Role COO
Phone 2397686396

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number ME76719
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIANS FOR QUALITY HEALTHCARE CASH BALANCE PLAN 2022 141846792 2023-08-30 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686396
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2023-08-30
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE 401(K) PLAN 2022 141846792 2023-08-15 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686393
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2023-08-15
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE 401(K) PLAN 2021 141846792 2022-06-08 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686393
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2022-06-07
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE CASH BALANCE PLAN 2021 141846792 2022-06-08 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686396
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2022-06-07
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE CASH BALANCE PLAN 2020 141846792 2021-09-28 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686396
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE 401(K) PLAN 2020 141846792 2021-09-28 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686393
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE CASH BALANCE PLAN 2019 141846792 2020-09-03 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686396
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE 401(K) PLAN 2019 141846792 2020-09-03 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686393
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE 401(K) PLAN 2018 141846792 2019-07-05 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686393
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2019-07-03
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS FOR QUALITY HEALTHCARE CASH BALANCE PLAN 2018 141846792 2019-07-05 PHYSICIANS FOR QUALITY HEALTHCARE, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2397686396
Plan sponsor’s address 6150 DIAMOND CENTRE CT. BLDG. 100, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2019-07-03
Name of individual signing GEORGE GHANEM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Toll Law Agent 210 Del Prado Blvd. S., Cape Coral, FL, 33990
GHANEM GEORGE Director 6150 DIAMOND CENTRE CT, FORT MYERS, FL, 33912

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000015283 ORLANDO SPINE AND JOINT EXPIRED 2018-01-30 2023-12-31 - 6150 DIAMOND CENTRE CT., BLDG. 100, FT. MYERS, FL, 33912
G11000076362 PHYSICIANS REHABILITATION ACTIVE 2011-08-01 2026-12-31 - 6150 DIAMOND CENTRE CT,BLDG 100, FT MYERS, FL, 33912
G02275900312 BONITA-MINI STORAGE EXPIRED 2002-10-02 2012-12-31 - 26891 OLD 41 RD, BONITA SPRINGS, FL, 34135-5050
G02275900313 BONITA RENT ALL AND SALES EXPIRED 2002-10-02 2012-12-31 - 26891 OLD 41 RD, BONITA SPRINGS, FL, 34135-5050
G02275900310 TAYLOR RENTAL AND PARTY PLUS EXPIRED 2002-10-02 2012-12-31 - 26891 OLD 41 RD, BONITA SPRINGS, FL, 34135-5050

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-11 210 Del Prado Blvd. S., Suite 1, Cape Coral, FL 33990 -
CHANGE OF MAILING ADDRESS 2017-04-25 6150 Diamond Centre Ct, Building 100, FORT MYERS, FL 33912 -
REGISTERED AGENT NAME CHANGED 2017-01-08 Toll Law -
CHANGE OF PRINCIPAL ADDRESS 2013-03-13 6150 Diamond Centre Ct, Building 100, FORT MYERS, FL 33912 -
NAME CHANGE AMENDMENT 2011-06-14 PHYSICIANS FOR QUALITY HEALTHCARE, INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-02-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1787298309 2021-01-19 0455 PPS 6150, FORT MYERS, FL, 33912
Loan Status Date 2021-08-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 347802.5
Loan Approval Amount (current) 347802.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FORT MYERS, LEE, FL, 33912
Project Congressional District FL-19
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 349290.32
Forgiveness Paid Date 2021-07-16
8871307003 2020-04-09 0455 PPP 6150 Diamond Centre Ct, FORT MYERS, FL, 33912-4366
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 246900
Loan Approval Amount (current) 246900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address FORT MYERS, LEE, FL, 33912-4366
Project Congressional District FL-19
Number of Employees 12
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 248598.85
Forgiveness Paid Date 2021-02-16

Date of last update: 01 Apr 2025

Sources: Florida Department of State