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SUSAN C. FAIR, D.O., PA - Florida Company Profile

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Company Details

Entity Name: SUSAN C. FAIR, D.O., PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jun 2007 (18 years ago)
Document Number: P07000066986
FEI/EIN Number 260342226
Address: 595 N COURTENAY BLVD, SUITE 102, MERRITT ISLAND, FL, 32953, US
Mail Address: 595 N COURTENAY BLVD, SUITE 102, MERRITT ISLAND, FL, 32953, US
ZIP code: 32953
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FAIR SUSAN C President 1551 STAFFORD AVENUE, MERRITT ISLAND, FL, 32952
AZZARELLO VINCENT Vice President 1551 STAFFORD AVENUE, MERRITT ISLAND, FL, 32952
FAIR SUSAN C Agent 1551 STAFFORD AVENUE, MERRITT ISLAND, FL, 32952

National Provider Identifier

NPI Number:
1407055874

Authorized Person:

Name:
SUSAN C FAIR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3214565531

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2012-05-01 FAIR, SUSAN CDO -
CHANGE OF PRINCIPAL ADDRESS 2008-09-15 595 N COURTENAY BLVD, SUITE 102, MERRITT ISLAND, FL 32953 -
CHANGE OF MAILING ADDRESS 2008-09-15 595 N COURTENAY BLVD, SUITE 102, MERRITT ISLAND, FL 32953 -

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-14
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-22

USAspending Awards / Financial Assistance

Date:
2020-05-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
15300.00
Total Face Value Of Loan:
15300.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
52531.25
Total Face Value Of Loan:
52531.25
Date:
2020-04-15
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:
52531.25
Total Face Value Of Loan:
52531.25

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$52,531.25
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,531.25
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$53,001.11
Servicing Lender:
Community Bank of the South
Use of Proceeds:
Payroll: $38,209.33
Utilities: $3,006.25
Rent: $7,500
Healthcare: $3815.67

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Date of last update: 02 Aug 2025

Sources: Florida Department of State