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  5. PAMELA S. KENNEDY, MD, P.A.

PAMELA S. KENNEDY, MD, P.A. - Florida Company Profile

Company Details

Entity Name: PAMELA S. KENNEDY, MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PAMELA S. KENNEDY, MD, 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: 12 Feb 2007 (18 years ago)
Document Number: P07000018813
FEI/EIN Number 208421681

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1355 THOMASWOOD DR, TALLAHASSEE, FL, 32308
Mail Address: 1355 THOMASWOOD DR, TALLAHASSEE, FL, 32308
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093098097 2011-09-26 2011-10-11 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308, US 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308, US

Contacts
Phone +1 850-656-4555

Authorized person
Name PAMELA KENNEDY
Role DERMATOLOGIST
Phone 8506564555

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME 84319
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE ID
Number 15007
Issuer MEDICAID
Number 2807050-00
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2023 208421681 2024-06-13 PAMELA S. KENNEDY, MD, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2022 208421681 2023-05-09 PAMELA S. KENNEDY, MD, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2023-05-09
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2021 208421681 2022-06-17 PAMELA S. KENNEDY, MD, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2022-06-17
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2020 208421681 2021-04-29 PAMELA S. KENNEDY, MD, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2019 208421681 2020-09-21 PAMELA S. KENNEDY, MD, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2018 208421681 2019-07-29 PAMELA S. KENNEDY, MD, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 323087915

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2017 208421681 2018-09-11 PAMELA S. KENNEDY, MD, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 323087915

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-11
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2016 208421681 2017-07-27 PAMELA S. KENNEDY, MD, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 323087915

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2015 208421681 2016-07-28 PAMELA S. KENNEDY, MD, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 323087915

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
PAMELA S. KENNEDY, MD, P.A. 401(K) PROFIT SHARING PLAN 2014 208421681 2015-07-21 PAMELA S. KENNEDY, MD, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8506564555
Plan sponsor’s address 1355 THOMASWOOD DRIVE, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-21
Name of individual signing PAMELA S. KENNEDY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KENNEDY PAMELA S Director 1355 THOMASWOOD DR, TALLAHASSEE, FL, 32308
KENNEDY PAMELA S Agent 1355 THOMASWOOD DR, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-03-31 1355 THOMASWOOD DR, TALLAHASSEE, FL 32308 -
CHANGE OF MAILING ADDRESS 2011-03-31 1355 THOMASWOOD DR, TALLAHASSEE, FL 32308 -
REGISTERED AGENT ADDRESS CHANGED 2011-03-31 1355 THOMASWOOD DR, TALLAHASSEE, FL 32308 -

Documents

Name Date
ANNUAL REPORT 2024-03-31
ANNUAL REPORT 2023-02-21
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-15
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-02-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6682437205 2020-04-28 0491 PPP 1355 THOMASWOOD DR, TALLAHASSEE, FL, 32308
Loan Status Date 2021-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 179397.5
Loan Approval Amount (current) 179397.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TALLAHASSEE, LEON, FL, 32308-0001
Project Congressional District FL-02
Number of Employees 18
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 180683.18
Forgiveness Paid Date 2021-01-12

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Companies related by address

No other companies in our directory share the same address as PAMELA S. KENNEDY, MD, P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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