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WALLACE FAMILY PRACTICE, P.A. - Florida Company Profile

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Company Details

Entity Name: WALLACE FAMILY PRACTICE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WALLACE FAMILY PRACTICE, 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: 28 Sep 2006 (19 years ago)
Document Number: P06000125002
FEI/EIN Number 205630941

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

Address: 14651 Palm Beach Blvd, Fort Myers, FL, 33905, US
Mail Address: 14651 Palm Beach Blvd, Fort Myers, FL, 33905, US
ZIP code: 33905
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WALLACE TASHA B Director 12011 Rosemount Dr, Fort Myers, FL, 33913
WALLACE TASHA B Agent 12011 Rosemount Dr, FORT MYERS, FL, 33913

National Provider Identifier

NPI Number:
1063548410

Authorized Person:

Name:
TASHA B. WALLACE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2393690500

Form 5500 Series

Employer Identification Number (EIN):
205630941
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-16 14651 Palm Beach Blvd, 100, Fort Myers, FL 33905 -
CHANGE OF MAILING ADDRESS 2021-02-16 14651 Palm Beach Blvd, 100, Fort Myers, FL 33905 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-16 12011 Rosemount Dr, FORT MYERS, FL 33913 -

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-02-27
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-01-13

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$38,239
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,239
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$38,757.58
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $38,239

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Date of last update: 01 Jul 2025

Sources: Florida Department of State