| Entity Name: | SUNSHINE STATE MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Apr 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 10 Oct 2007 (17 years ago) |
| Document Number: | P04000065515 |
| FEI/EIN Number | 562454234 |
| Address: | 5425 SOUTH SEMORAN BOULEVARD, SUITE 6-A, ORLANDO, FL, 32822 |
| Mail Address: | 5425 SOUTH SEMORAN BOULEVARD, SUITE 6-A, ORLANDO, FL, 32822 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598063935 | 2011-03-09 | 2023-08-29 | 5425 S SEMORAN BLVD STE 6A, ORLANDO, FL, 328221777, US | 5425 S SEMORAN BLVD STE 6A, ORLANDO, FL, 328221777, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-482-0052 |
| Fax | 4074820198 |
Authorized person
| Name | MS. MARTHA ORTIZ |
| Role | PRESIDENT |
| Phone | 4074820052 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 202D00000X - Integrative Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2083S0010X - Sports Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HAGOOD LAW GROUP | Agent | 451 Maitland Avenue, Altamonte Springs, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| ORTIZ MARTHA | President | 5425 South Semoran Boulevard, ORLANDO, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-03-05 | HAGOOD LAW GROUP | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-04 | 451 Maitland Avenue, Altamonte Springs, FL 32701 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-03 | 5425 SOUTH SEMORAN BOULEVARD, SUITE 6-A, ORLANDO, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-03 | 5425 SOUTH SEMORAN BOULEVARD, SUITE 6-A, ORLANDO, FL 32822 | No data |
| CANCEL ADM DISS/REV | 2007-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-03-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7817177300 | 2020-04-30 | 0491 | PPP | 5425 S SEMORAN BLVD STE 6A, ORLANDO, FL, 32822-1777 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8232538307 | 2021-01-29 | 0491 | PPS | 5425 S Semoran Blvd Ste 6A, Orlando, FL, 32822-1777 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
