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PHYSICIAN SURGICAL NETWORK, INC. - Florida Company Profile

Company Details

Entity Name: PHYSICIAN SURGICAL NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PHYSICIAN SURGICAL NETWORK, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Nov 2003 (21 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 19 Nov 2018 (6 years ago)
Document Number: P03000128721
FEI/EIN Number 593370576

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 12350 NW 39TH STREET, CORAL SPRINGS, FL, 33065, US
Address: 1020 WEST OAK STREET, KISSIMMEE, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649912478 2022-04-12 2022-04-12 831 CORAL RIDGE DR, CORAL SPRINGS, FL, 330714180, US 7350 SANDLAKE COMMONS BLVD STE 1130, ORLANDO, FL, 328198039, US

Contacts

Phone +1 954-248-3422
Phone +1 407-870-1579
Fax 4078702353

Authorized person

Name JACOB GITMAN
Role CEO
Phone 9542483422

Taxonomy

Taxonomy Code 207RR0500X - Rheumatology Physician
Is Primary Yes

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
ATHENA MEDICAL MANAGEMENT GROUP, LLC Agent -

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5196757305 2020-04-30 0455 PPP 1020 W Oak St, Kissimmee, FL, 34741
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 232095
Loan Approval Amount (current) 232095
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Kissimmee, OSCEOLA, FL, 34741-0001
Project Congressional District FL-09
Number of Employees 28
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 233719.66
Forgiveness Paid Date 2021-01-25

Date of last update: 01 Mar 2025

Sources: Florida Department of State