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CITRUS PARK MEDICAL CARE INC. - Florida Company Profile

Company Details

Entity Name: CITRUS PARK MEDICAL CARE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CITRUS PARK MEDICAL CARE 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: 27 Apr 2005 (20 years ago)
Document Number: P05000061840
FEI/EIN Number 861112772

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

Address: 6328 GUNN HWY, B, TAMPA, FL, 33625
Mail Address: 6328 GUNN HWY, B, TAMPA, FL, 33625
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033266176 2007-01-04 2020-08-22 6328 GUNN HWY, TAMPA, FL, 336254122, US 6328 GUNN HWY, TAMPA, FL, 336254122, US

Contacts

Phone +1 813-964-8526
Fax 8139648536

Authorized person

Name DR. DIPAK SHAH
Role OWNER
Phone 8132652066

Taxonomy

Taxonomy Code 173000000X - Legal Medicine
License Number ME50876
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2023 861112772 2024-09-08 CITRUS PARK MEDICAL CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE RETIREMENT PLAN 2023 861112772 2024-09-08 CITRUS PARK MEDICAL CARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2022 861112772 2023-09-27 CITRUS PARK MEDICAL CARE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE RETIREMENT PLAN 2022 861112772 2023-10-05 CITRUS PARK MEDICAL CARE 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2021 861112772 2022-10-12 CITRUS PARK MEDICAL CARE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2020 861112772 2021-06-22 CITRUS PARK MEDICAL CARE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2021-06-22
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2019 861112772 2020-04-16 CITRUS PARK MEDICAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8139648526
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2020-04-16
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2018 861112772 2019-09-24 CITRUS PARK MEDICAL CARE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8134866442
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2017 861112772 2018-09-20 CITRUS PARK MEDICAL CARE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8134866442
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2018-09-20
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature
CITRUS PARK MEDICAL CARE 401(K) PROFIT SHARING PLAN 2016 861112772 2017-10-04 CITRUS PARK MEDICAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8134866442
Plan sponsor’s address 6328 GUNN HIGHWAY, SUITE B, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2017-10-04
Name of individual signing SHITAL MEHTA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MEHTA SHITAL Director 6328 GUNN HWY, TAMPA, FL, 33625
MEHTA SHITAL Officer 6328 GUNN HWY, TAMPA, FL, 33625
MEHTA SHITAL D Agent 6328 GUNN HWY, TAMPA, FL, 33625

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2008-01-17 6328 GUNN HWY, B, TAMPA, FL 33625 -
CHANGE OF PRINCIPAL ADDRESS 2007-07-13 6328 GUNN HWY, B, TAMPA, FL 33625 -
CHANGE OF MAILING ADDRESS 2007-07-13 6328 GUNN HWY, B, TAMPA, FL 33625 -
REGISTERED AGENT NAME CHANGED 2006-12-27 MEHTA, SHITAL D.O. -

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5953247205 2020-04-27 0455 PPP 6328 Gunn Hwy Ste B, TAMPA, FL, 33625
Loan Status Date 2021-06-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74370
Loan Approval Amount (current) 74370
Undisbursed Amount 0
Franchise Name -
Lender Location ID 99098
Servicing Lender Name DFCU Financial
Servicing Lender Address 400 Town Center Dr, DEARBORN, MI, 48126-2753
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33625-1000
Project Congressional District FL-14
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 123511
Originating Lender Name First Citrus Bank
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 75148.34
Forgiveness Paid Date 2021-05-19

Date of last update: 01 Apr 2025

Sources: Florida Department of State