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  5. BAY AREA INTERNIST, INC.

BAY AREA INTERNIST, INC.

Company Details

Entity Name: BAY AREA INTERNIST, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 May 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Nov 2013 (11 years ago)
Document Number: P04000078893
FEI/EIN Number 201152476
Address: 5520 9TH STREET N, SAINT PETERSBURG, FL, 33703
Mail Address: 5520 9TH STREET N, SAINT PETERSBURG, FL, 33703
ZIP code: 33703
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689885527 2007-05-24 2012-11-29 5520 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL, 337031204, US 5520 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL, 337031204, US

Contacts
Phone +1 727-526-1775
Fax 7275265764

Authorized person
Name BHANUPRASAD PATEL
Role PRESIDENT
Phone 7275261775

Taxonomy
Taxonomy Code 208D00000X - General Practice Physician
License Number ME0088299
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 269999100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2023 201152476 2024-06-27 BAY AREA INTERNIST, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2022 201152476 2023-08-07 BAY AREA INTERNIST, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2021 201152476 2022-09-13 BAY AREA INTERNIST, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2020 201152476 2021-07-28 BAY AREA INTERNIST, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2019 201152476 2020-06-24 BAY AREA INTERNIST, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2018 201152476 2019-07-31 BAY AREA INTERNIST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2017 201152476 2018-07-31 BAY AREA INTERNIST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275261775
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2016 201152476 2017-08-21 BAY AREA INTERNIST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2015 201152476 2016-08-18 BAY AREA INTERNIST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703
BAY AREA INTERNIST, INC. 401(K) PROFIT SHARING PLAN 2014 201152476 2015-08-14 BAY AREA INTERNIST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275265764
Plan sponsor’s address 5520 9TH STREET N., ST. PETERSBURG, FL, 33703

Agent

Name Role Address
PATEL BHANUPRASAD Agent 7032 BAYOU WEST, PINELLAS PARK, FL, 33782

President

Name Role Address
BHANUPRASAD PATEL President 7032 BAYOU WEST, PINELLAS PARK, FL, 33782

Director

Name Role Address
BHANUPRASAD PATEL Director 7032 BAYOU WEST, PINELLAS PARK, FL, 33782

Events

Event Type Filed Date Value Description
REINSTATEMENT 2013-11-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-05-06 5520 9TH STREET N, SAINT PETERSBURG, FL 33703 No data
CHANGE OF MAILING ADDRESS 2009-05-06 5520 9TH STREET N, SAINT PETERSBURG, FL 33703 No data
REGISTERED AGENT ADDRESS CHANGED 2009-05-06 7032 BAYOU WEST, PINELLAS PARK, FL 33782 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-02-24
ANNUAL REPORT 2017-03-25
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9912008310 2021-01-31 0455 PPS 5520 Dr Martin Luther King Jr St N, St Petersburg, FL, 33703-1204
Loan Status Date 2021-12-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45412.5
Loan Approval Amount (current) 45412.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address St Petersburg, PINELLAS, FL, 33703-1204
Project Congressional District FL-14
Number of Employees 4
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 45764.45
Forgiveness Paid Date 2021-11-16
2496157104 2020-04-10 0455 PPP 5520 9th Street North, SAINT PETERSBURG, FL, 33703
Loan Status Date 2021-05-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41362
Loan Approval Amount (current) 41362
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT PETERSBURG, PINELLAS, FL, 33703-0001
Project Congressional District FL-14
Number of Employees 4
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 41780.22
Forgiveness Paid Date 2021-04-20

Related by officers

PATEL BHANUPRASAD

JAY MATAJI LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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