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KAREN N. PHILLIPPS, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: KAREN N. PHILLIPPS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jul 2003 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 13 Oct 2006 (19 years ago)
Document Number: P03000081870
FEI/EIN Number 200122591
Address: 851 CHALET SUZANNE RD, LAKE WALES, FL, 33859
Mail Address: 851 CHALET SUZANNE RD, LAKE WALES, FL, 33859
ZIP code: 33859
City: Lake Wales
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PHILLIPPS KAREN NMD President 851 CHALET SUZANNE RD, LAKE WALES, FL, 33859
PHILLIPPS KAREN NDr. Agent 851 CHALET SUZANNE RD, LAKE WALES, FL, 33859

National Provider Identifier

NPI Number:
1619902186
Certification Date:
2024-08-26

Authorized Person:

Name:
DR. KAREN NICOLE PHILLIPPS
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8636799826

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000063894 TLC FAMILY PRACTICE ACTIVE 2023-05-22 2028-12-31 - 851 CHALET SUZANNE ROAD, LAKE WALES, FL, 33859

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-06-28 PHILLIPPS, KAREN N, Dr. -
CHANGE OF PRINCIPAL ADDRESS 2011-04-06 851 CHALET SUZANNE RD, LAKE WALES, FL 33859 -
CHANGE OF MAILING ADDRESS 2011-04-06 851 CHALET SUZANNE RD, LAKE WALES, FL 33859 -
REGISTERED AGENT ADDRESS CHANGED 2011-04-06 851 CHALET SUZANNE RD, LAKE WALES, FL 33859 -
CANCEL ADM DISS/REV 2006-10-13 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-13
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-06-28
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-27

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
77042.00
Total Face Value Of Loan:
77042.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$77,042
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$77,042
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$77,577.01
Servicing Lender:
Citizens Bank and Trust
Use of Proceeds:
Payroll: $77,042
Jobs Reported:
9
Initial Approval Amount:
$77,182.25
Date Approved:
2021-01-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$77,182.25
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$77,724.67
Servicing Lender:
Citizens Bank and Trust
Use of Proceeds:
Payroll: $77,177.25
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State