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  5. BARTON R. BLUMBERG, D.M.D., P.A.

BARTON R. BLUMBERG, D.M.D., P.A. - Florida Company Profile

Company Details

Entity Name: BARTON R. BLUMBERG, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BARTON R. BLUMBERG, D.M.D., 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 Mar 2007 (18 years ago)
Document Number: P07000039232
FEI/EIN Number 680222480

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7590 SE 12 Circle, Ocala, FL, 34480, US
Mail Address: 7590 SE 12 Circle, Ocala, FL, 34480, US
ZIP code: 34480
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346443355 2007-06-07 2020-08-22 1503 BUENOS AIRES BLVD., STE. 190, THE VILLAGES, FL, 32159, US 1503 BUENOS AIRES BLVD., STE. 190, THE VILLAGES, FL, 32159, US

Contacts
Phone +1 352-430-2100
Fax 3524301297

Authorized person
Name DR. BARTON R BLUMBERG
Role PRESIDENT
Phone 3524302100

Taxonomy
Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
License Number DN 9030
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2017 680222480 2018-10-11 BARTON R. BLUMBERG, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2016 680222480 2017-06-28 BARTON R. BLUMBERG, D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2015 680222480 2016-07-07 BARTON R. BLUMBERG, D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2014 680222480 2015-08-31 BARTON R. BLUMBERG, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2013 680222480 2014-08-06 BARTON R. BLUMBERG, D.M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Signature of
Role Plan administrator
Date 2014-08-06
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2012 680222480 2013-07-10 BARTON R. BLUMBERG, D.M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2011 680222480 2012-09-27 BARTON R. BLUMBERG, D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Plan administrator’s name and address
Administrator’s EIN 680222480
Plan administrator’s name BARTON R. BLUMBERG, D.M.D., P.A.
Plan administrator’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822
Administrator’s telephone number 3524302100

Signature of
Role Plan administrator
Date 2012-09-27
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2010 680222480 2011-07-25 BARTON R. BLUMBERG, D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Plan administrator’s name and address
Administrator’s EIN 680222480
Plan administrator’s name BARTON R. BLUMBERG, D.M.D., P.A.
Plan administrator’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822
Administrator’s telephone number 3524302100

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BARTON R. BLUMBERG, D.M.D., P.A. PROFIT SHARING 401K PLAN 2009 680222480 2010-09-13 BARTON R. BLUMBERG, D.M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621112
Sponsor’s telephone number 3524302100
Plan sponsor’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822

Plan administrator’s name and address
Administrator’s EIN 680222480
Plan administrator’s name BARTON R. BLUMBERG, D.M.D., P.A.
Plan administrator’s address 1503 BUENOS AIRES BLVD., SUITE 190, THE VILLAGES, FL, 321596822
Administrator’s telephone number 3524302100

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing BARTON R. BLUMBERG, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BLUMBERG BARTON R Director 7590 SE 12 Circle, Ocala, FL, 34480
BLUMBERG BARTON RDMD Agent 7590 SE 12 Circle, Ocala, FL, 34480

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-27 7590 SE 12 Circle, Ocala, FL 34480 -
CHANGE OF MAILING ADDRESS 2022-01-27 7590 SE 12 Circle, Ocala, FL 34480 -
REGISTERED AGENT ADDRESS CHANGED 2022-01-27 7590 SE 12 Circle, Ocala, FL 34480 -
REGISTERED AGENT NAME CHANGED 2020-01-16 BLUMBERG, BARTON R, DMD -

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6789397108 2020-04-14 0491 PPP 1503 Buenos Aires Blvd Bldg190, Lady Lake, FL, 32159-6822
Loan Status Date 2021-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 54700
Loan Approval Amount (current) 75663
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Lady Lake, SUMTER, FL, 32159-6822
Project Congressional District FL-11
Number of Employees 7
NAICS code 622110
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 76294.75
Forgiveness Paid Date 2021-02-24

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Companies related by address

No other companies in our directory share the same address as BARTON R. BLUMBERG, D.M.D., P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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