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IVAN GUERRERO MD, PA - Florida Company Profile

Company Details

Entity Name: IVAN GUERRERO MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

IVAN GUERRERO 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: 03 Aug 2007 (18 years ago)
Document Number: P07000087813
FEI/EIN Number 260655426

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

Address: 6817 Southpoint Parkway, Suite 802, JACKSONVILLE, FL, 32216, US
Mail Address: P.O. Box 551272, JACKSONVILLE, FL, 32255, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053508184 2007-10-03 2015-05-21 PO BOX 551272, JACKSONVILLE, FL, 322551272, US 6817 SOUTHPOINT PKWY, SUITE 502, JACKSONVILLE, FL, 322166282, US

Contacts

Phone +1 904-646-3017
Fax 9046461501

Authorized person

Name IVAN A GUERRERO
Role PRESIDENT
Phone 9046461987

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME82361
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 000802800
State FL

Key Officers & Management

Name Role Address
GUERRERO IVAN A Director 10120 Ecton Lane, JACKSONVILLE, FL, 32246
GUERRERO IVAN A President 10120 Ecton Lane, JACKSONVILLE, FL, 32246
GUERRERO IVAN Agent 10120 Ecton Lane, JACKSONVILLE, FL, 32246
Wendy Lu Director 8825 Perimeter Park Blvd, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-03-09 6817 Southpoint Parkway, Suite 802, JACKSONVILLE, FL 32216 -
CHANGE OF MAILING ADDRESS 2014-04-03 6817 Southpoint Parkway, Suite 802, JACKSONVILLE, FL 32216 -
REGISTERED AGENT ADDRESS CHANGED 2014-04-03 10120 Ecton Lane, JACKSONVILLE, FL 32246 -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-02-28
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-03-02
ANNUAL REPORT 2016-03-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5434337707 2020-05-01 0491 PPP 6817 SOUTHPOINT PKWY STE 802, JACKSONVILLE, FL, 32216-6292
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45537
Loan Approval Amount (current) 45537
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 JACKSONVILLE, DUVAL, FL, 32216-6292
Project Congressional District FL-05
Number of Employees 4
NAICS code 621111
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 46139.59
Forgiveness Paid Date 2021-09-02

Date of last update: 01 Mar 2025

Sources: Florida Department of State