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DOUGLAS DENTISTRY, P.A. - Florida Company Profile

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Company Details

Entity Name: DOUGLAS DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Dec 2006 (19 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 17 Jan 2013 (13 years ago)
Document Number: P06000151161
FEI/EIN Number 208013133
Address: 1821 Wellness ln, New Port Richey, FL, 34655, US
Mail Address: 1710 daiquiri ln, lutz, FL, 33549, US
ZIP code: 34655
City: New Port Richey
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOUGLAS SHAWN J President 1710 DAIQUIRI LN, LUTZ, FL, 33549
DOUGLAS SHAWN J Agent 1710 DAIQUIRI LN, LUTZ, FL, 33549

National Provider Identifier

NPI Number:
1801358395

Authorized Person:

Name:
SHAWN DOUGLAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
208013133
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
1
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000008592 WOLFENDEN DENTISTRY EXPIRED 2019-01-16 2024-12-31 - 1710 DAIQUIRI LN, LUTZ, FL, 33549--410
G13000008873 ODESSA FAMILY DENTISTRY EXPIRED 2013-01-25 2018-12-31 - 8734 N. MOBLEY ROAD, ODESSA, FL, 33556

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-04 1821 Wellness ln, New Port Richey, FL 34655 -
CHANGE OF MAILING ADDRESS 2015-01-13 1821 Wellness ln, New Port Richey, FL 34655 -
AMENDMENT AND NAME CHANGE 2013-01-17 DOUGLAS DENTISTRY, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2010-04-01 1710 DAIQUIRI LN, LUTZ, FL 33549 -

Documents

Name Date
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-04-01
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-01-13

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
134955.00
Total Face Value Of Loan:
134955.00
Date:
2020-04-30
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:
134955.00
Total Face Value Of Loan:
134955.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$134,955
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$134,955
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$136,108.59
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $134,955

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Date of last update: 01 Aug 2025

Sources: Florida Department of State