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MARC R. STAUFFER, M.D., P.A.

MARC R. STAUFFER, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name:	MARC R. STAUFFER, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	03 Jul 2007 (18 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	25 Nov 2024 (8 months ago)
Document Number:	P07000076651
FEI/EIN Number	260465707
Address:	2919 W. SWANN AVE., 102, TAMPA, FL, 33609
Mail Address:	P.O. BOX 10808, TAMPA, FL, 33679, US
ZIP code:	33609
City:	Tampa
County:	Hillsborough
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
STAUFFER MARC R	President	2611 Bayshore Blvd. Unit 707, TAMPA, FL, 33629
STAUFFER MARC R	Agent	2611 Bayshore Blvd. Unit 707, TAMPA, FL, 33629

National Provider Identifier

NPI Number:

1386832582

Certification Date:

2023-10-06

Link:

View on NPI website

Authorized Person:

Name:

MARC ROBERT STAUFFER

Role:

CEO/ PRESIDENT

Phone:

8138703971

Taxonomy:

Selected Taxonomy:

207RI0011X - Interventional Cardiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 813-870-3971

Fax:

8138726594

Form 5500 Series

Employer Identification Number (EIN):

260465707

Plan Year:

2019

Number Of Participants:

13

Sponsors Telephone Number:

8134466800

File:

Plan Year:

2018

Number Of Participants:

12

Sponsors Telephone Number:

8134466800

File:

Plan Year:

2017

Number Of Participants:

13

Sponsors Telephone Number:

8134466800

File:

Plan Year:

2017

Number Of Participants:

13

Sponsors Telephone Number:

8134466800

Plan Year:

2016

Number Of Participants:

10

Sponsors Telephone Number:

8134466800

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G09000125664	PALMA CEIA HEART & VASCULAR	ACTIVE	2009-06-23	2029-12-31	-	2919 W. SWANN AVE., SUITE #102, TAMPA, FL, 33609

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2024-11-25	STAUFFER, MARC R	-
REGISTERED AGENT ADDRESS CHANGED	2024-11-25	2611 Bayshore Blvd. Unit 707, TAMPA, FL 33629	-
REINSTATEMENT	2024-11-25	-	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2024-09-27	-	-
CHANGE OF PRINCIPAL ADDRESS	2010-01-13	2919 W. SWANN AVE., 102, TAMPA, FL 33609	-
CHANGE OF MAILING ADDRESS	2010-01-13	2919 W. SWANN AVE., 102, TAMPA, FL 33609	-
CANCEL ADM DISS/REV	2008-10-31	-	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2008-09-26	-	-

Documents

Name	Date
ANNUAL REPORT	2025-02-10
REINSTATEMENT	2024-11-25
ANNUAL REPORT	2023-03-13
ANNUAL REPORT	2022-01-28
ANNUAL REPORT	2021-04-19
ANNUAL REPORT	2020-01-15
ANNUAL REPORT	2019-01-28
ANNUAL REPORT	2018-01-14
ANNUAL REPORT	2017-01-10
ANNUAL REPORT	2016-01-18

Paycheck Protection Program

Jobs Reported:

12

Initial Approval Amount:

$148,197

Date Approved:

2020-04-09

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$148,197

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$149,843.63

Servicing Lender:

Valley National Bank

Use of Proceeds:

Payroll: $148,197

Jobs Reported:

6

Initial Approval Amount:

$125,092

Date Approved:

2021-03-16

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$125,092

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$126,679.97

Servicing Lender:

Valley National Bank

Use of Proceeds:

Payroll: $125,090
Utilities: $1

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Date of last update: 01 Jul 2025

Sources: Florida Department of State