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FARHAN SIDDIQI, MD PA - Florida Company Profile

Company Details

Entity Name: FARHAN SIDDIQI, MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FARHAN SIDDIQI, 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: 13 Jan 2010 (15 years ago)
Date of dissolution: 15 Jan 2025 (3 months ago)
Last Event: CONVERSION
Event Date Filed: 15 Jan 2025 (3 months ago)
Document Number: P10000003900
FEI/EIN Number 271689066

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

Address: 2040 SHORT AVE., SUITE 100, ODESSA, FL, 33556
Mail Address: 11319 Cortez Boulevard, Brooksville, FL, 34613, US
ZIP code: 33556
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003672700 2024-02-21 2024-02-21 11319 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US 2309 CREST OVER LN, WESLEY CHAPEL, FL, 33544, US

Contacts

Phone +1 352-597-0907
Fax 3525972243
Phone +1 727-807-2476

Authorized person

Name FARHAN N SIDDIQI
Role PRESIDENT
Phone 7278072476

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FARHAN SIDDIQI, MD, PA 401(K) PROFIT SHARING PLAN 2023 271689066 2025-01-09 FARHAN SIDDIQI, MD, PA 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7278073113
Plan sponsor’s address 2040 SHORT AVENUE, SUITE 100, ODESSA, FL, 33556
FARHAN SIDDIQI, MD, PA 401(K) PROFIT SHARING PLAN 2022 271689066 2023-10-02 FARHAN SIDDIQI, MD, PA 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7278073113
Plan sponsor’s address 2040 SHORT AVENUE, SUITE 100, ODESSA, FL, 33556
FARHAN SIDDIQI, MD, PA 401(K) PROFIT SHARING PLAN 2021 271689066 2022-08-29 FARHAN SIDDIQI, MD, PA 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7278073113
Plan sponsor’s address 2040 SHORT AVENUE, SUITE 100, ODESSA, FL, 33556
FARHAN SIDDIQI, MD, PA 401(K) PROFIT SHARING PLAN 2020 271689066 2021-09-26 FARHAN SIDDIQI, MD, PA 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7278073113
Plan sponsor’s address 2040 SHORT AVENUE, SUITE 100, ODESSA, FL, 33556
FARHAN SIDDIQI, MD, PA 401(K) PROFIT SHARING PLAN 2019 271689066 2020-10-14 FARHAN SIDDIQI, MD, PA 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7278073113
Plan sponsor’s address 2040 SHORT AVENUE, SUITE 100, ODESSA, FL, 33556

Key Officers & Management

Name Role Address
SIDDIQI FARHAN President 2040 SHORT AVE., ODESSA, FL, 33556
Wijnmaalen Johannes H Mgr 2040 Short Avenue, Odessa, FL, 33556
SIDDIQI FARHAN Agent 2040 SHORT AVE, ODESSA, FL, 33556

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000125773 FLORIDA ADVANCED SPINE AND ORTHOPEDICS ACTIVE 2022-10-06 2027-12-31 - 11319 CORTEZ BOULEVARD, NEW PORT RICHEY, FL, 34655
G22000050259 ELITE WOMEN'S CARE ACTIVE 2022-04-20 2027-12-31 - 11319 CORTEZ BLVD,, BROOKSVILLE, FL, 34613
G19000119289 FASTMD ACTIVE 2019-11-05 2029-12-31 - 11319 CORTEZ BLVD, BROOKSVILLE, FL, 34613
G17000082447 FLORIDA ADVANCED SPINE, SPORTS AND TRAUMA CENTERS EXPIRED 2017-08-02 2022-12-31 - 7005 NIGHTWALKER ROAD, BROOKSVILLE, FL, 34613
G17000082446 F.A.S.T. EXPIRED 2017-08-02 2022-12-31 - 7005 NIGHTWALKER ROAD, BROOKSVILLE, FL, 34613

Events

Event Type Filed Date Value Description
CONVERSION 2025-01-15 - CONVERSION MEMBER. RESULTING CORPORATION WAS L25000023148. CONVERSION NUMBER 700000263767
REINSTATEMENT 2024-10-22 - -
REGISTERED AGENT NAME CHANGED 2024-10-22 SIDDIQI, FARHAN -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF MAILING ADDRESS 2019-03-21 2040 SHORT AVE., SUITE 100, ODESSA, FL 33556 -

Documents

Name Date
ANNUAL REPORT 2025-01-15
REINSTATEMENT 2024-10-22
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-01-14
AMENDED ANNUAL REPORT 2017-11-14
ANNUAL REPORT 2017-03-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5913277002 2020-04-06 0491 PPP 11319 Cortez Blvd, BROOKSVILLE, FL, 34613-5407
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 782000
Loan Approval Amount (current) 782000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BROOKSVILLE, HERNANDO, FL, 34613-5407
Project Congressional District FL-12
Number of Employees 88
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 792470.11
Forgiveness Paid Date 2021-08-11

Date of last update: 01 Apr 2025

Sources: Florida Department of State