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R.K. VISHEN, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: R.K. VISHEN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Apr 2003 (22 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Apr 2014 (11 years ago)
Document Number: P03000045684
FEI/EIN Number 510444005
Address: 165 WELLS ROAD, SUITE 404, ORANGE PARK, FL, 32073, US
Mail Address: P.O. BOX 2310, ORANGE PARK, FL, 32067
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VISHEN RAJESH K Director 165 WELLS ROAD, ORANGE PARK, FL, 32073
VISHEN RAJESH K President 165 WELLS ROAD, ORANGE PARK, FL, 32073
MOZA ANJILI Director 165 WELLS ROAD, ORANGE PARK, FL, 32073
VISHEN RAJESH K Agent 165 WELLS ROAD, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1912011511

Authorized Person:

Name:
DR. R. K. VISHEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
510444005
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-03-08 165 WELLS ROAD, SUITE 404, ORANGE PARK, FL 32073 -
REGISTERED AGENT ADDRESS CHANGED 2016-03-08 165 WELLS ROAD, SUITE 404, ORANGE PARK, FL 32073 -
AMENDED AND RESTATEDARTICLES 2014-04-01 - -
REGISTERED AGENT NAME CHANGED 2014-04-01 VISHEN, RAJESH K -
REINSTATEMENT 2013-10-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
CHANGE OF MAILING ADDRESS 2007-07-02 165 WELLS ROAD, SUITE 404, ORANGE PARK, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-07

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
38539.00
Total Face Value Of Loan:
38539.00
Date:
2020-04-29
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:
38539.00
Total Face Value Of Loan:
38539.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$38,539
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,539
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$38,926.53
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $38,539
Jobs Reported:
3
Initial Approval Amount:
$54,764
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,869
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$54,144.33
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $53,869

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Date of last update: 02 Aug 2025

Sources: Florida Department of State