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COLLIER MEDICAL SPECIALISTS, INC. - Florida Company Profile

Company Details

Entity Name: COLLIER MEDICAL SPECIALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COLLIER MEDICAL SPECIALISTS, INC. 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: 10 Jul 2007 (18 years ago)
Document Number: P07000078577
FEI/EIN Number NOT APPLICABLE

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6615 HILLWAY CIRCLE, SUITE 200, NAPLES, FL, 34112
Mail Address: 6615 HILLWAY CIRCLE, SUITE 200, NAPLES, FL, 34112
ZIP code: 34112
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295929891 2007-08-28 2008-04-14 6615 HILLWAY CIRCLE, STE 200, NAPLES, FL, 341128755, US 6615 HILLWAY CIR, STE 200, NAPLES, FL, 341128755, US

Contacts

Phone +1 239-774-0345
Fax 2397741783

Authorized person

Name DR. RAJEEV PREM RAJANI
Role PHYSICIAN
Phone 2397740345

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME99073
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 405284600
State MD

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2022 260496881 2023-10-09 COLLIER MEDICAL SPECIALISTS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2021 260496881 2022-11-25 COLLIER MEDICAL SPECIALISTS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2020 260496881 2021-10-08 COLLIER MEDICAL SPECIALISTS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2019 260496881 2020-10-14 COLLIER MEDICAL SPECIALISTS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2018 260496881 2019-10-11 COLLIER MEDICAL SPECIALISTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2017 260496881 2018-10-10 COLLIER MEDICAL SPECIALISTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2016 260496881 2017-10-11 COLLIER MEDICAL SPECIALISTS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740395
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2015 260496881 2016-07-01 COLLIER MEDICAL SPECIALISTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740345
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2014 260496881 2015-07-24 COLLIER MEDICAL SPECIALISTS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740345
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112
COLLIER MEDICAL SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2013 260496881 2014-09-12 COLLIER MEDICAL SPECIALISTS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2397740345
Plan sponsor’s address 6615 HILLWAY CIRCLE SUITE 200, NAPLES, FL, 34112

Signature of

Role Plan administrator
Date 2014-09-12
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RAJANI RAJEEV P Director 6615 HILLWAY CIRCLE, SUITE 200, NAPLES, FL, 34112
RAJANI RAJEEV P Agent 6615 HILLWAY CIRCLE, NAPLES, FL, 34112

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-04-30 6615 HILLWAY CIRCLE, SUITE 200, NAPLES, FL 34112 -
CHANGE OF MAILING ADDRESS 2008-04-30 6615 HILLWAY CIRCLE, SUITE 200, NAPLES, FL 34112 -
REGISTERED AGENT NAME CHANGED 2008-04-30 RAJANI, RAJEEV PDIR -
REGISTERED AGENT ADDRESS CHANGED 2008-04-30 6615 HILLWAY CIRCLE, SUITE 200, NAPLES, FL 34112 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J11000125091 TERMINATED 1000000203432 COLLIER 2011-02-08 2021-03-01 $ 489.76 STATE OF FLORIDA, DEPARTMENT OF REVENUE, NAPLES SERVICE CENTER, 3073 HORSESHOE DR S STE 110, NAPLES FL341046145

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-16
ANNUAL REPORT 2015-01-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7223527704 2020-05-01 0455 PPP 6615 HILLWAY CIR STE 200, NAPLES, FL, 34112-8755
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71495
Loan Approval Amount (current) 71495
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address NAPLES, COLLIER, FL, 34112-8755
Project Congressional District FL-26
Number of Employees 7
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 72108.09
Forgiveness Paid Date 2021-03-11

Date of last update: 02 Apr 2025

Sources: Florida Department of State