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CARLOS A. VIZCARRA MD PA - Florida Company Profile

Company Details

Entity Name: CARLOS A. VIZCARRA MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CARLOS A. VIZCARRA MD PA 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 Jun 2006 (19 years ago)
Document Number: P06000086743
FEI/EIN Number 205117679

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

Address: 13000 US HIGHWAY 1, 4, SEBASTIAN, FL, 32958, US
Mail Address: 13000 US HIGHWAY 1, 4, SEBASTIAN, FL, 32958, US
ZIP code: 32958
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437248754 2006-10-12 2020-08-22 3897 PEACOCK DR, MELBOURNE, FL, 329049516, US 13837 US HIGHWAY 1, SEBASTIAN, FL, 329583232, US

Contacts

Phone +1 321-373-1160
Phone +1 772-589-9188
Fax 7725899187

Authorized person

Name DR. CARLOS ANDRES VIZCARRA
Role PRESIDENT
Phone 7725899188

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME 931719
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
VIZCARRA CARLOS A President 1525 EAGLES CIRCLE, SEBASTIAN, FL, 32958
VIZCARRA CARLOS A Agent 1525 EAGLES CIRCLE, SEBASTIAN, FL, 32958

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-03-29 13000 US HIGHWAY 1, 4, SEBASTIAN, FL 32958 -
CHANGE OF MAILING ADDRESS 2011-03-29 13000 US HIGHWAY 1, 4, SEBASTIAN, FL 32958 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-09 1525 EAGLES CIRCLE, SEBASTIAN, FL 32958 -

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-05-21
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-24
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-04-04
ANNUAL REPORT 2015-04-10

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4508695009 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS - - TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient CARLOS A. VIZCARRA MD PA
Recipient Name Raw CARLOS A. VIZCARRA MD PA
Recipient Address 1300 US HIGHWAY 1 SUITE 3 &., SEBASTIAN, INDIAN RIVER, FLORIDA, 32958-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 371000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6901417309 2020-04-30 0455 PPP 13000 US HIGHWAY 1 STE 4, SEBASTIAN, FL, 32958-3773
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42590
Loan Approval Amount (current) 42590
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SEBASTIAN, INDIAN RIVER, FL, 32958-3773
Project Congressional District FL-08
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 43188.59
Forgiveness Paid Date 2021-10-04

Date of last update: 01 May 2025

Sources: Florida Department of State