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KIDSVILLE PEDIATRICS IV, P.A. - Florida Company Profile

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Company Details

Entity Name: KIDSVILLE PEDIATRICS IV, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Oct 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 05 Jul 2011 (14 years ago)
Document Number: P05000142184
FEI/EIN Number 134311321
Mail Address: P.O. BOX 452223, KISSIMMEE, FL, 34745
Address: 11886 LAKE UNDERHILL RD., ORLANDO, FL, 32825, US
ZIP code: 32825
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GONZALEZ FRANCELIS IMD Chief Executive Officer P.O. BOX 452223, KISSIMMEE, FL, 34745
PANTOJA VICTOR MJr. President P.O. BOX 452223, KISSIMMEE, FL, 34745
PANTOJA VICTOR MJr. Agent 11886 Lake UnderHill RD, ORLANDO, FL, 32825

National Provider Identifier

NPI Number:
1508955212

Authorized Person:

Name:
DR. FRANCELIS I. GONZALEZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
4074477804

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-02-09 11886 Lake UnderHill RD, ORLANDO, FL 32825 -
CHANGE OF PRINCIPAL ADDRESS 2013-03-03 11886 LAKE UNDERHILL RD., ORLANDO, FL 32825 -
REGISTERED AGENT NAME CHANGED 2013-03-03 PANTOJA, VICTOR M, Jr. -
AMENDMENT 2011-07-05 - -
CHANGE OF MAILING ADDRESS 2008-03-17 11886 LAKE UNDERHILL RD., ORLANDO, FL 32825 -

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-09
AMENDED ANNUAL REPORT 2016-05-31
ANNUAL REPORT 2016-03-04

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128045.00
Total Face Value Of Loan:
128045.00
Date:
2020-06-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
90800.00
Total Face Value Of Loan:
90800.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128047.50
Total Face Value Of Loan:
128047.50
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128047.50
Total Face Value Of Loan:
128047.50
Date:
2011-07-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
423000.00
Total Face Value Of Loan:
327000.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$128,047.5
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$128,047.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$128,794.44
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $128,047.5
Jobs Reported:
11
Initial Approval Amount:
$128,045
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$128,045
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$128,912.86
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $128,041
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State