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LESTER DE LEON, MD, PA - Florida Company Profile

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Company Details

Entity Name: LESTER DE LEON, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Nov 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Feb 2018 (7 years ago)
Document Number: P11000100342
FEI/EIN Number 453857644
Address: 4155 SW 136TH AVE, MIAMI, FL, 33175
Mail Address: 4155 SW 136TH AVE, MIAMI, FL, 33175
ZIP code: 33175
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DE LEON LESTER M Agent 4155 SW 136TH AVE, MIAMI, FL, 33175
DE LEON LESTER M President 4155 SW 136TH AVE, MIAMI, FL, 33175
DE LEON LESTER M Director 4155 SW 136TH AVE, MIAMI, FL, 33175

National Provider Identifier

NPI Number:
1164796090

Authorized Person:

Name:
LESTER DE LEON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000003563 DE LEON PRIMARY CARE ACTIVE 2022-01-10 2027-12-31 - 4155 SW 136TH AVE, MIAMI, FL, 33175

Events

Event Type Filed Date Value Description
REINSTATEMENT 2018-02-26 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REINSTATEMENT 2016-12-07 - -
REGISTERED AGENT NAME CHANGED 2016-12-07 DE LEON, LESTER M -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-18
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-03-12
REINSTATEMENT 2018-02-26
REINSTATEMENT 2016-12-07
ANNUAL REPORT 2015-06-09
ANNUAL REPORT 2014-03-23

USAspending Awards / Financial Assistance

Date:
2021-02-10
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:
30430.00
Total Face Value Of Loan:
30430.00
Date:
2020-06-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
140400.00
Total Face Value Of Loan:
140400.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,834
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,834
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,029.61
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $20,834
Jobs Reported:
6
Initial Approval Amount:
$30,430
Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$30,430
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$30,638.78
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $30,427
Utilities: $1

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Date of last update: 01 Jul 2025

Sources: Florida Department of State