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JEFFREY T. O'BRIEN, MD, INC. - Florida Company Profile

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Company Details

Entity Name: JEFFREY T. O'BRIEN, MD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Jan 2003 (23 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 06 Oct 2009 (16 years ago)
Document Number: P03000002381
FEI/EIN Number 810589147
Address: 650 S. COURTENAY PARKWAY, SUITE 200, MERRITT ISLAND, FL, 32952
Mail Address: 650 S. COURTENAY PARKWAY, SUITE 200, MERRITT ISLAND, FL, 32952
ZIP code: 32952
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VALDIVIA GONZALO G Secretary 1421 MALABAR RD,SUITE 200, PALM BAY, FL, 32907
VALDIVIA GONZALO G Treasurer 1421 MALABAR RD,SUITE 200, PALM BAY, FL, 32907
VALDIVIA GONZALO G Director 1421 MALABAR RD,SUITE 200, PALM BAY, FL, 32907
O'BRIEN JEFFREY T Agent 650 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
O'BRIEN JEFFREY T President 650 S. COURTENAY PARKWAY, SUITE 200, MERRITT ISLAND, FL, 32952
O'BRIEN JEFFREY T Director 650 S. COURTENAY PARKWAY, SUITE 200, MERRITT ISLAND, FL, 32952

National Provider Identifier

NPI Number:
1619146321

Authorized Person:

Name:
JEFFREY T O'BRIEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
3213942669

Form 5500 Series

Employer Identification Number (EIN):
810589147
Plan Year:
2024
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
29
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G04021900329 THE ORTHOPEDIC CENTER ACTIVE 2004-01-21 2029-12-31 - 650 S. COURTENAY PARKWAY, SUITE 200, MERRITT ISLAND, FL, 32952

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2009-10-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
AMENDMENT 2003-02-21 - -

Documents

Name Date
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-03
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-04
ANNUAL REPORT 2015-01-14

USAspending Awards / Financial Assistance

Date:
2021-01-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-149700.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
295500.00
Total Face Value Of Loan:
295500.00
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
295500.00
Total Face Value Of Loan:
295500.00

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$295,500
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$295,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$297,256.58
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $295,500

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Date of last update: 01 Aug 2025

Sources: Florida Department of State