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FARHAN SIDDIQI, MD PA - Florida Company Profile

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Company Details

Entity Name: FARHAN SIDDIQI, MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 13 Jan 2010 (16 years ago)
Date of dissolution: 15 Jan 2025 (8 months ago)
Last Event: CONVERSION
Event Date Filed: 15 Jan 2025 (8 months ago)
Document Number: P10000003900
FEI/EIN Number 271689066
Address: 2040 SHORT AVE., SUITE 100, ODESSA, FL, 33556
Mail Address: 11319 Cortez Boulevard, Brooksville, FL, 34613, US
ZIP code: 33556
City: Odessa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIDDIQI FARHAN President 2040 SHORT AVE., ODESSA, FL, 33556
SIDDIQI FARHAN Agent 2040 SHORT AVE, ODESSA, FL, 33556

National Provider Identifier

NPI Number:
1003672700

Authorized Person:

Name:
FARHAN N SIDDIQI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
3525972243

Form 5500 Series

Employer Identification Number (EIN):
271689066
Plan Year:
2023
Number Of Participants:
88
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
87
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
58
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
39
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
782000.00
Total Face Value Of Loan:
782000.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
782000.00
Total Face Value Of Loan:
782000.00

Paycheck Protection Program

Jobs Reported:
88
Initial Approval Amount:
$782,000
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$782,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$792,470.11
Servicing Lender:
Republic Bank & Trust Company
Use of Proceeds:
Payroll: $782,000

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Date of last update: 01 Aug 2025

Sources: Florida Department of State