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AUDWIN B. NELSON, M.D., P.A.

AUDWIN B. NELSON, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name:	AUDWIN B. NELSON, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	29 Jan 2003 (23 years ago)
Document Number:	P03000010986
FEI/EIN Number	043735767
Address:	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL, 33872, US
Mail Address:	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL, 33872, US
ZIP code:	33872
City:	Sebring
County:	Highlands
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
NELSON AUDWIN B	President	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL, 33872
NELSON AUDWIN B	Vice President	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL, 33872
NELSON AUDWIN B	Secretary	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL, 33872
NELSON AUDWIN B	Treasurer	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL, 33872
DAVID R RAMOS, CPA	Agent	4215 OLD ROAD 37, LAKELAND, FL, 33813

National Provider Identifier

NPI Number:

1104064245

Link:

View on NPI website

Authorized Person:

Name:

DR. AUDWIN BRUCE NELSON

Role:

PRESIDENT

Phone:

8634712320

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 863-471-2320

Fax:

8634712101

Form 5500 Series

Employer Identification Number (EIN):

043735767

Plan Year:

2023

Number Of Participants:

11

Sponsors Telephone Number:

8634712320

File:

Plan Year:

2022

Number Of Participants:

8

Sponsors Telephone Number:

8634712320

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

8634712320

File:

Plan Year:

2020

Number Of Participants:

10

Sponsors Telephone Number:

8634712320

File:

Plan Year:

2019

Number Of Participants:

10

Sponsors Telephone Number:

8634712320

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G10000044731	SUN 'N LAKE INTERNAL MEDICINE	ACTIVE	2010-05-20	2025-12-31	-	4221 SUN-N-LAKE BLVD., SEBRING, FL, 33872

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2016-02-05	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL 33872	-
CHANGE OF MAILING ADDRESS	2014-04-17	4221 SUN 'N LAKE BOULEVARD, SEBRING, FL 33872	-
REGISTERED AGENT NAME CHANGED	2014-04-17	DAVID R RAMOS, CPA	-
REGISTERED AGENT ADDRESS CHANGED	2014-04-17	4215 OLD ROAD 37, LAKELAND, FL 33813	-

Documents

Name	Date
ANNUAL REPORT	2024-04-29
ANNUAL REPORT	2023-04-28
ANNUAL REPORT	2022-03-10
ANNUAL REPORT	2021-01-13
ANNUAL REPORT	2020-01-17
ANNUAL REPORT	2019-01-18
ANNUAL REPORT	2018-01-26
ANNUAL REPORT	2017-02-14
ANNUAL REPORT	2016-02-05
ANNUAL REPORT	2015-02-02

USAspending Awards / Financial Assistance

Date:

2020-04-16

Link:

View on USAspending

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:

84500.00

Total Face Value Of Loan:

84500.00

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$84,500

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$84,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$85,042.21

Servicing Lender:

Heartland National Bank

Use of Proceeds:

Payroll: $84,498
Utilities: $1
Mortgage Interest: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State