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CARDIOVASCULAR HEALTH CONSULTANTS, PA - Florida Company Profile

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Company Details

Entity Name: CARDIOVASCULAR HEALTH CONSULTANTS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 May 2006 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Dec 2022 (3 years ago)
Document Number: P06000069655
FEI/EIN Number 204869058
Address: 13575 NW 1st Lane, Suite 20, Newberry, FL, 32669, US
Mail Address: 13575 NW 1st Lane, Suite 20, Newberry, FL, 32669, US
ZIP code: 32669
City: Newberry
County: Alachua
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GREEN PRESTON TDr. Agent 13575 NW 1st Lane, Newberry, FL, 32669
GREEN PRESTON T President 13575 NW 1st Lane, Newberry, FL, 32669

National Provider Identifier

NPI Number:
1104873405
Certification Date:
2024-11-08

Authorized Person:

Name:
PRESTON T GREEN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8559641167

Form 5500 Series

Employer Identification Number (EIN):
204869058
Plan Year:
2017
Number Of Participants:
7
Sponsors DBA Name:
NORTH FLORIDA HEART
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors DBA Name:
NORTH FLORIDA HEART
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000060169 NORTH FLORIDA HEART ACTIVE 2019-05-21 2029-12-31 - 13575 NW 1ST LANE, SUITE 20, NEWBERRY, FL, 32669
G08109900278 NORTH FLORIDA HEART EXPIRED 2008-04-18 2013-12-31 - 150 NW 75TH DRIVE, SUITE A, GAINESVILLE, FL, 32607

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-12-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2021-03-15 13575 NW 1st Lane, Suite 20, Newberry, FL 32669 -
CHANGE OF PRINCIPAL ADDRESS 2021-03-15 13575 NW 1st Lane, Suite 20, Newberry, FL 32669 -
CHANGE OF MAILING ADDRESS 2021-03-15 13575 NW 1st Lane, Suite 20, Newberry, FL 32669 -
REGISTERED AGENT NAME CHANGED 2014-03-27 GREEN, PRESTON T, Dr. -
AMENDMENT 2010-12-27 - -
REINSTATEMENT 2010-10-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-06-15
REINSTATEMENT 2022-12-04
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-02-26
ANNUAL REPORT 2015-01-22

USAspending Awards / Financial Assistance

Date:
2021-01-25
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:
92191.00
Total Face Value Of Loan:
92191.00
Date:
2020-04-13
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:
72500.00
Total Face Value Of Loan:
72500.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$72,500
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$73,128.33
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $59,800
Utilities: $1,000
Mortgage Interest: $11,700
Jobs Reported:
6
Initial Approval Amount:
$92,191
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$92,191
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$93,448.38
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $92,189
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State