Search icon

PHYSICIAN SURGICAL NETWORK, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: PHYSICIAN SURGICAL NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Nov 2003 (22 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 19 Nov 2018 (7 years ago)
Document Number: P03000128721
FEI/EIN Number 593370576
Mail Address: 12350 NW 39TH STREET, CORAL SPRINGS, FL, 33065, US
Address: 1020 WEST OAK STREET, KISSIMMEE, FL, 34741, US
ZIP code: 34741
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALLEN LICHT Director 12350 NW 39TH STREET, CORAL SPRINGS, FL, 33065
WELLMED, LLC Director 30 N GOULD STREET, SHERIDAN, WY, 82801
- Agent -

National Provider Identifier

NPI Number:
1649912478
Certification Date:
2022-04-12

Authorized Person:

Name:
JACOB GITMAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
4078702353

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000171421 ATENIUM ACTIVE 2021-12-27 2026-12-31 - 1020 WEST OAK STREET, KISSIMMEE, FL, 33741
G19000084058 ATHENA MEDICAL GROUP EXPIRED 2019-08-08 2024-12-31 - 831 CORAL RIDGE DRIVE, CORAL SPRINGS, FL, 33071
G19000023169 IV INFUSION TREATMENT CENTER EXPIRED 2019-02-15 2024-12-31 - 831 CORAL RIDGE DRIVE, CORAL SPRINGS, FL, 33071
G18000125695 CENTRAL FLORIDA ARTHRITIS AND OSTEOPOROSIS CENTER EXPIRED 2018-11-27 2023-12-31 - 1020 WEST OAK ST, KISSIMMEE, FL, 34741
G10000084651 CENTRAL FLORIDA ARTHRITIS AND OSTEOPOROSIS CENTER EXPIRED 2010-09-15 2015-12-31 - 1020 W OAK STREET, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-04-14 1020 WEST OAK STREET, KISSIMMEE, FL 34741 -
REGISTERED AGENT NAME CHANGED 2022-04-14 ATHENA MEDICAL MANAGEMENT GROUP, LLC -
REGISTERED AGENT ADDRESS CHANGED 2022-04-14 12350 NW 39TH STREET, SUITE 200, CORAL SPRINGS, FL 33065 -
NAME CHANGE AMENDMENT 2018-11-19 PHYSICIAN SURGICAL NETWORK, INC. -
CHANGE OF PRINCIPAL ADDRESS 2010-02-09 1020 WEST OAK STREET, KISSIMMEE, FL 34741 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
AMENDED ANNUAL REPORT 2023-10-26
ANNUAL REPORT 2023-04-30
AMENDED ANNUAL REPORT 2022-06-09
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-05-04
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-02-27
Name Change 2018-11-19
ANNUAL REPORT 2018-02-21

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
232095.00
Total Face Value Of Loan:
232095.00
Date:
2020-04-30
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:
232095.00
Total Face Value Of Loan:
232095.00

Paycheck Protection Program

Jobs Reported:
28
Initial Approval Amount:
$232,095
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$232,095
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$233,719.66
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $232,095

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State