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UROLOGY CENTER OF PALM BEACH P.A.

Company Details

Entity Name: UROLOGY CENTER OF PALM BEACH P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jan 2004 (21 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 19 Apr 2004 (21 years ago)
Document Number: P04000023304
FEI/EIN Number 200750664
Address: 2319 ALFORD WAY, WELLINGTON, FL, 33414
Mail Address: 2319 ALFORD WAY, WELLINGTON, FL, 33414
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124039508 2006-08-10 2019-02-18 13005 SOUTHERN BLVD STE 135, LOXAHATCHEE, FL, 334709231, US 13005 SOUTHERN BLVD STE 135, LOXAHATCHEE, FL, 334709231, US

Contacts

Phone +1 561-615-1234
Fax 5616151411

Authorized person

Name MRS. CLAUDINA KANDEL
Role OFFICE MANAGER
Phone 5616151234

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Agent

Name Role Address
RUBINOWICZ DIEGO M Agent 2319 ALFORD WAY, WELLINGTON, FL, 33414

Director

Name Role Address
RUBINOWICZ DIEGO M Director 2319 ALFORD WAY, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2004-04-19 UROLOGY CENTER OF PALM BEACH P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-04-14
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5578197309 2020-04-30 0455 PPP 13005 SOUTHERN BLVD, Suite 135, LOXAHATCHEE, FL, 33470-9231
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38051.88
Loan Approval Amount (current) 38051.88
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 N
LMI N
Business Age Description Unanswered
Project Address LOXAHATCHEE, PALM BEACH, FL, 33470-9231
Project Congressional District FL-20
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 38436.63
Forgiveness Paid Date 2021-05-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State