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PREMIER HEART AND VASCULAR CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: PREMIER HEART AND VASCULAR CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 May 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2020 (5 years ago)
Document Number: P11000050193
FEI/EIN Number 203842362
Mail Address: 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540, US
Address: 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
ZIP code: 33540
City: Zephyrhills
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GUPTA SUNIL M.D. President 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
GUPTA SUNIL M.D. Director 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
CHAUHAN KETUL KM.D. Vice President 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
CHAUHAN KETUL KM.D. Director 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
KHAMARE CHETAN Secretary 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
KHAMARE CHETAN Director 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
SOMA VIKAS M.D. Treasurer 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
- Agent -

National Provider Identifier

NPI Number:
1417060229
Certification Date:
2025-06-23

Authorized Person:

Name:
SUNIL GUPTA
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8137887691

Form 5500 Series

Employer Identification Number (EIN):
203842362
Plan Year:
2023
Number Of Participants:
134
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
111
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
96
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
52
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000040187 VEIN CENTER OF WESLEY CHAPEL EXPIRED 2016-04-20 2021-12-31 - 27424 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544
G14000010180 WESLEY CHAPEL VEIN CENTER EXPIRED 2014-01-29 2019-12-31 - 26827 FOGGY CREEK ROAD, #103, WESLEY CHAPEL, FL, 33544

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-19 2904 W Bay to Bay Ave, TAMPA, FL 33629 -
REGISTERED AGENT NAME CHANGED 2023-04-20 Aaron L Gordon PLLC -
REINSTATEMENT 2020-10-02 - -
CHANGE OF MAILING ADDRESS 2020-10-02 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL 33540 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REINSTATEMENT 2014-10-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
AMENDMENT 2011-11-10 - -
CONVERSION 2011-05-26 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L05000058778. CONVERSION NUMBER 900000114059

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-07-27
REINSTATEMENT 2020-10-02
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-07-25
ANNUAL REPORT 2015-03-03

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:
1000000.00
Total Face Value Of Loan:
1000000.00
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:
1000000.00
Total Face Value Of Loan:
1000000.00

Paycheck Protection Program

Jobs Reported:
80
Initial Approval Amount:
$1,000,000
Date Approved:
2020-04-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,000,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,005,534.25
Servicing Lender:
DFCU Financial
Use of Proceeds:
Payroll: $805,500
Utilities: $40,500
Rent: $106,000
Healthcare: $48000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State