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CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, 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: 15 Apr 2004 (21 years ago)
Document Number: P04000064041
FEI/EIN Number 201013520

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

Address: 13411 PARKER COMMONS BLVD, STE 101, FORT MYERS, FL, 33912
Mail Address: 13411 PARKER COMMONS BLVD, STE 101, FORT MYERS, FL, 33912
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255437745 2006-09-15 2024-08-07 13411 PARKER COMMONS BLVD, SUITE 101, FORT MYERS, FL, 339121811, US 13411 PARKER COMMONS BLVD, SUITE 101, FORT MYERS, FL, 339121811, US

Contacts

Phone +1 239-415-4900

Authorized person

Name DANNA MINER
Role OFFICE MANAGER
Phone 2394154900

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS GROUP
Number 74817
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2023 201013520 2024-07-08 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2022 201013520 2023-07-19 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2021 201013520 2022-08-05 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2020 201013520 2021-05-11 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2019 201013520 2020-04-07 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2018 201013520 2019-04-22 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2017 201013520 2018-04-04 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2016 201013520 2017-02-27 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2017-02-27
Name of individual signing ELIOT B. HOFFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2015 201013520 2016-07-12 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2016-07-12
Name of individual signing ELIOT B. HOFFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 401(K) PLAN 2014 201013520 2015-05-31 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394154900
Plan sponsor’s address 13411 PARKER COMMONS BLVD., STE 101, FORT MYERS, FL, 33912

Signature of

Role Plan administrator
Date 2015-05-31
Name of individual signing ELIOT B. HOFFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ALBAGHDADI ALI President 13411 PARKER COMMONS BLVD, FORT MYERS, FL, 33912
EUELL ANDREW B Vice President 13411 PARKER COMMONS BLVD, FORT MYERS, FL, 33912
EUELL ANDREW J Agent 13411 PARKER COMMONS BLVD, FORT MYERS, FL, 33912

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000151396 BESPOKE EXECUTIVE MEDICINE ACTIVE 2024-12-13 2029-12-31 - 13411 PARKER COMMONS BLVD, SUITE 103, FORT MYERS, FL, 33912
G04114900195 CARDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA EXPIRED 2004-04-23 2024-12-31 - 13411 PARKER COMMONS BLVD., SUITE #101, FORT MYERS, FL, 33912

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-07-01 EUELL, ANDREW J -
REGISTERED AGENT ADDRESS CHANGED 2024-07-01 13411 PARKER COMMONS BLVD, STE 101, FORT MYERS, FL 33912 -
CHANGE OF PRINCIPAL ADDRESS 2008-04-11 13411 PARKER COMMONS BLVD, STE 101, FORT MYERS, FL 33912 -
CHANGE OF MAILING ADDRESS 2008-04-11 13411 PARKER COMMONS BLVD, STE 101, FORT MYERS, FL 33912 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-01
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-05-05
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4098948704 2021-03-31 0455 PPS 13411 Parker Commons Blvd Ste 101, Fort Myers, FL, 33912-1873
Loan Status Date 2021-10-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 119400
Loan Approval Amount (current) 119400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33912-1873
Project Congressional District FL-19
Number of Employees 10
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 119916.85
Forgiveness Paid Date 2021-09-08

Date of last update: 01 Apr 2025

Sources: Florida Department of State