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ANGEL KIDS, P.A. - Florida Company Profile

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Company Details

Entity Name: ANGEL KIDS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ANGEL KIDS, P.A. 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: 29 Dec 2003 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 30 May 2006 (19 years ago)
Document Number: P04000004968
FEI/EIN Number 200660471

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

Address: 13241 Bartram Park Boulevard, JACKSONVILLE, FL, 32258, US
Mail Address: 13241 Bartram Park Boulevard, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AFFAN ASHRAF ADr. President 13241 Bartram Park Boulevard, JACKSONVILLE, FL, 32258
Affan Ashraf Agent 4160 Boulevard Center Drive, Jacksonville, FL, 32207

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
6YZF5
UEI Expiration Date:
2021-04-11

Business Information

Division Name:
ANGEL KIDS PEDIATRICS
Division Number:
1
Activation Date:
2020-04-11
Initial Registration Date:
2013-08-15

National Provider Identifier

NPI Number:
1841866811
Certification Date:
2021-06-01

Authorized Person:

Name:
AZZA GHANDOUR
Role:
BILLING/CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000089813 ANGEL KIDS PEDIATRICS EXPIRED 2017-08-15 2022-12-31 - 13241 BARTRAM PARK BLVD, SUITE 209, JACKSONVILLE, FL, 32258
G13000033625 PRIME LAB EXPIRED 2013-04-08 2018-12-31 - 1121 BEACH BOULEVARD, JACKSONVILLE, FL, 32250
G12000089222 ANGEL CARE URGENT CARE EXPIRED 2012-09-11 2017-12-31 - 1121 BEACH BOULEVARD, JACKSONVILLE BEACH, FL, 32250
G11000089275 ANGEL KIDS PEDIATRICS EXPIRED 2011-09-09 2016-12-31 - 1121 BEACH BOULEVARD, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-05-27 Affan, Ashraf -
REGISTERED AGENT ADDRESS CHANGED 2021-05-27 4160 Boulevard Center Drive, Jacksonville, FL 32207 -
CHANGE OF PRINCIPAL ADDRESS 2016-04-27 13241 Bartram Park Boulevard, Suite 209, JACKSONVILLE, FL 32258 -
CHANGE OF MAILING ADDRESS 2016-04-27 13241 Bartram Park Boulevard, Suite 209, JACKSONVILLE, FL 32258 -
CANCEL ADM DISS/REV 2006-05-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000210329 TERMINATED 1000000453501 DUVAL 2013-01-02 2033-01-23 $ 2,624.52 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-03-31
AMENDED ANNUAL REPORT 2021-05-27
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-03-17
ANNUAL REPORT 2017-04-02
ANNUAL REPORT 2016-04-27

USAspending Awards / Financial Assistance

Date:
2013-07-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-2000.00
Total Face Value Of Loan:
130000.00
Date:
2011-01-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
68000.00
Total Face Value Of Loan:
0.00
Date:
2009-12-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
56000.00
Total Face Value Of Loan:
56000.00

Paycheck Protection Program

Jobs Reported:
114
Initial Approval Amount:
$915,706
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$915,706
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$927,723.07
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $915,706

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Date of last update: 03 Jul 2025

Sources: Florida Department of State