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DANA M. COBERLY, MD, PA - Florida Company Profile

Company Details

Entity Name: DANA M. COBERLY, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DANA M. COBERLY, 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: 28 May 2010 (15 years ago)
Document Number: P10000045986
FEI/EIN Number 383814343

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

Address: 508 S Habana AVE, TAMPA, FL, 33609, US
Mail Address: 508 S Habana Ave, TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881983443 2011-04-05 2013-01-17 2111 W SWANN AVE, SUITE 101, TAMPA, FL, 336062477, US 2111 W SWANN AVE, SUITE 101, TAMPA, FL, 336062477, US

Contacts

Phone +1 813-448-6550
Fax 8134486511

Authorized person

Name DR. DANA M COBERLY
Role PRESIDENT
Phone 8134486550

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
License Number ME77633
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANA M COBERLY MD PA 401(K) PROFIT SHARING PLAN & TRUST 2023 383814343 2024-07-17 DANA M COBERLY MD PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8134486550
Plan sponsor’s address 508 S HABANA AVENUE, SUITE 180, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2024-07-17
Name of individual signing DANA M COBERLY
Valid signature Filed with authorized/valid electronic signature
DANA M COBERLY MD PA 401(K) PROFIT SHARING PLAN & TRUST 2022 383814343 2023-07-05 DANA M COBERLY MD PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8134486550
Plan sponsor’s address 508 S HABANA AVENUE, SUITE 180, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2023-07-05
Name of individual signing DANA COBERLY
Valid signature Filed with authorized/valid electronic signature
DANA M COBERLY MD PA 401(K) PROFIT SHARING PLAN & TRUST 2021 383814343 2022-06-06 DANA M COBERLY MD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8134486550
Plan sponsor’s address 508 S HABANA AVENUE, SUITE 180, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2022-06-06
Name of individual signing DANA M COBERLY
Valid signature Filed with authorized/valid electronic signature
DANA M COBERLY MD PA 401(K) PROFIT SHARING PLAN & TRUST 2020 383814343 2021-10-22 DANA M COBERLY MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8134486550
Plan sponsor’s address 508 S HABANA AVENUE, SUITE 180, TAMPA, FL, 33609

Signature of

Role Plan administrator
Date 2021-10-22
Name of individual signing DANA M COBERLY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
COBERLY DANA M President 508 S Habana Ave, TAMPA, FL, 33609
COBERLY DANA M Agent 508 S Habana Ave, TAMPA, FL, 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000044840 COBERLY PLASTIC SURGERY ACTIVE 2011-05-09 2026-12-31 - 508 S HABANA AVE, #180, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-05-18 508 S Habana AVE, Suite 180, TAMPA, FL 33609 -
CHANGE OF MAILING ADDRESS 2020-05-18 508 S Habana AVE, Suite 180, TAMPA, FL 33609 -
REGISTERED AGENT ADDRESS CHANGED 2020-05-18 508 S Habana Ave, Suite 180, TAMPA, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-05-18
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3309207106 2020-04-11 0455 PPP 508 S Habana Ave Suite 180, TAMPA, FL, 33609-4137
Loan Status Date 2021-06-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 76000
Loan Approval Amount (current) 76000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33609-4137
Project Congressional District FL-14
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 76803.73
Forgiveness Paid Date 2021-05-12

Date of last update: 02 Apr 2025

Sources: Florida Department of State