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  5. LARRY T. WONG, D.O., P.A.

LARRY T. WONG, D.O., P.A. - Florida Company Profile

Company Details

Entity Name: LARRY T. WONG, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LARRY T. WONG, D.O., 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: 14 Mar 2005 (20 years ago)
Document Number: P05000038269
FEI/EIN Number 202477100

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 502 N MACARTHUR AVE, STE C, PANAMA CITY, FL, 32401
Mail Address: PO BOX 16266, PANAMA CITY, FL, 32406
ZIP code: 32401
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376715409 2008-03-28 2012-10-15 502 N MACARTHUR AVE, SUITE C, PANAMA CITY, FL, 324013654, US 502 N MACARTHUR AVE, SUITE C, PANAMA CITY, FL, 324013654, US

Contacts
Phone +1 850-215-1080
Fax 8502151086

Authorized person
Name DR. LARRY T WONG
Role PHYSICIAN
Phone 8502151080

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
License Number OS9154
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE PROVIDER NUMBER
Number 48027Y
Issuer MEDICAID
Number 270357200
State FL
Issuer BLUE CROSS/BLUE SHIELD
Number 48027

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LARRY T. WONG, D.O. P.A. CASH BALANCE PLAN 2023 202477100 2024-09-12 LARRY T. WONG, D.O. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing LARRY WONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-11
Name of individual signing LARRY WONG
Valid signature Filed with authorized/valid electronic signature
LARRY T. WONG, D.O., P.A. 401K PROFIT SHARING PLAN 2022 202477100 2024-02-15 LARRY T. WONG, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O. P.A. CASH BALANCE PLAN 2022 202477100 2023-09-26 LARRY T. WONG, D.O. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing LARRY WONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing LARRY WONG
Valid signature Filed with authorized/valid electronic signature
LARRY T. WONG, D.O., P.A. 401K PROFIT SHARING PLAN 2021 202477100 2022-10-17 LARRY T. WONG, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O., P.A. CASH BALANCE PENSION PLAN 2021 202477100 2022-10-17 LARRY T. WONG, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O., P.A. CASH BALANCE PENSION PLAN 2020 202477100 2021-10-08 LARRY T. WONG, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O., P.A. 401K PROFIT SHARING PLAN 2020 202477100 2021-10-08 LARRY T. WONG, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O., P.A. 401K PROFIT SHARING PLAN 2019 202477100 2020-10-06 LARRY T. WONG, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O., P.A. CASH BALANCE PENSION PLAN 2019 202477100 2020-10-05 LARRY T. WONG, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401
LARRY T. WONG, D.O., P.A. 401K PROFIT SHARING PLAN 2018 202477100 2019-10-08 LARRY T. WONG, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8502151080
Plan sponsor’s address 502 N. MACARTHUR AVENUE, PANAMA CITY, FL, 32401

Key Officers & Management

Name Role Address
WONG LARRY T Director 2900 TUPELO DRIVE, PANAMA CITY, FL, 32405
WONG LARRY T Agent 2900 TUPELO DRIVE, PANAMA CITY, FL, 32405

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-14 502 N MACARTHUR AVE, STE C, PANAMA CITY, FL 32401 -

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-03-21
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-03-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7377017206 2020-04-28 0491 PPP 502 N MacArthur Avenue, Suite C, PANAMA CITY, FL, 32401-3666
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) 39069.5
Loan Approval Amount (current) 39069.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17104
Servicing Lender Name FNBT Bank
Servicing Lender Address 29 N Eglin Pkwy, FORT WALTON BEACH, FL, 32548-5452
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32401-3666
Project Congressional District FL-02
Number of Employees 4
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 17104
Originating Lender Name FNBT Bank
Originating Lender Address FORT WALTON BEACH, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 39361.72
Forgiveness Paid Date 2021-02-02

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Companies related by address

No other companies in our directory share the same address as LARRY T. WONG, D.O., P.A.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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