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  5. CECILIO HERNANDEZ MD PA

CECILIO HERNANDEZ MD PA - Florida Company Profile

Company Details

Entity Name: CECILIO HERNANDEZ MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CECILIO HERNANDEZ MD PA 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: 29 Jun 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Nov 2019 (5 years ago)
Document Number: P07000076067
FEI/EIN Number 262432451

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4102 N, MACDILL AVE, SUITE A, TAMPA, FL, 33607
Mail Address: 4102 N, MACDILL AVE, SUITE A, TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811156045 2008-06-03 2008-06-09 4102 N MACDILL AVE, TAMPA, FL, 336076717, US 4102 N MACDILL AVE, TAMPA, FL, 336076717, US

Contacts
Phone +1 813-657-0027
Fax 8138771609

Authorized person
Name DR. CECILIO HERNANDEZ
Role PRESIDENT
Phone 8136570027

Taxonomy
Taxonomy Code 207RN0300X - Nephrology Physician
License Number ME0068187
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 378115100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2023 262432451 2024-12-05 CECILIO HERNANDEZ MD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2022 262432451 2024-02-13 CECILIO HERNANDEZ MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2021 262432451 2023-02-14 CECILIO HERNANDEZ MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2020 262432451 2023-02-07 CECILIO HERNANDEZ MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2019 262432451 2020-10-13 CECILIO HERNANDEZ MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2018 262432451 2020-10-13 CECILIO HERNANDEZ MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2018 262432451 2019-10-14 CECILIO HERNANDEZ MD PA 4
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2017 262432451 2018-10-11 CECILIO HERNANDEZ MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2016 262432451 2017-07-26 CECILIO HERNANDEZ MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607
CECILIO HERNANDEZ MD PA PROFIT SHARING PLAN AND TRUST 2015 262432451 2016-09-26 CECILIO HERNANDEZ MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8138703979
Plan sponsor’s address 4102 N MACDILL AVE, SUITE A, TAMPA, FL, 33607

Key Officers & Management

Name Role Address
HERNANDEZ CECILIO President 4102 N, MACDILL AVE STE A, TAMPA, FL, 33607
HERNANDEZ CECILIO Agent 4102 N, MACDILL AVE, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-11-20 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2015-10-21 - -
REGISTERED AGENT NAME CHANGED 2015-10-21 HERNANDEZ, CECILIO -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2011-01-11 4102 N, MACDILL AVE, SUITE A, TAMPA, FL 33607 -
CHANGE OF PRINCIPAL ADDRESS 2011-01-11 4102 N, MACDILL AVE, SUITE A, TAMPA, FL 33607 -
CHANGE OF MAILING ADDRESS 2011-01-11 4102 N, MACDILL AVE, SUITE A, TAMPA, FL 33607 -
AMENDMENT AND NAME CHANGE 2008-05-16 CECILIO HERNANDEZ MD PA -

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-06-22
REINSTATEMENT 2019-11-20
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-03-29
REINSTATEMENT 2015-10-21
ANNUAL REPORT 2014-02-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5376698609 2021-03-20 0455 PPS 4102, TAMPA, FL, 33607
Loan Status Date 2022-01-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51660
Loan Approval Amount (current) 51660
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 U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33607
Project Congressional District FL-14
Number of Employees 4
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 52037.9
Forgiveness Paid Date 2021-12-16
6360777809 2020-06-01 0455 PPP 4102, TAMPA, FL, 33607
Loan Status Date 2021-12-31
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48197
Loan Approval Amount (current) 48197
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 U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33607-0039
Project Congressional District FL-14
Number of Employees 4
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 48915.33
Forgiveness Paid Date 2021-12-16

Companies related by officers

HERNANDEZ CECILIO

A DRYWALL-FINISH OF MIAMI, INC - Inactive
Domestic Profit (2009 - 2010)

Companies related by address

No other companies in our directory share the same address as CECILIO HERNANDEZ MD PA

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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