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RODERICK M URBANIAK M.D., P.A. - Florida Company Profile

Company Details

Entity Name: RODERICK M URBANIAK M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RODERICK M URBANIAK M.D., P.A. 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: 25 Apr 2013 (12 years ago)
Document Number: P13000037216
FEI/EIN Number 46-2637595

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

Address: 13201 Walsingham Road, Largo, FL, 33774, US
Mail Address: 13201 Walsingham Road, Largo, FL, 33774, US
ZIP code: 33774
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942640719 2013-06-26 2013-06-26 609 LAKEVIEW RD, CLEARWATER, FL, 337563335, US 609 LAKEVIEW RD, CLEARWATER, FL, 337563335, US

Contacts

Phone +1 727-447-4536
Fax 7274421600

Authorized person

Name MS. GINGER LYNN WIERSMA
Role OFFICE MANAGER
Phone 6162184495

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
License Number 4301083724
State MI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RODERICK M. URBANIAK M.D., P.A. 401(K) PLAN 2023 462637595 2024-07-23 RODERICK M. URBANIAK M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7274474536
Plan sponsor’s address 13201 WALSINGHAM ROAD STE 200, LARGO, FL, 33774

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing RODERICK URBANIAK
Valid signature Filed with authorized/valid electronic signature
RODERICK M. URBANIAK M.D., P.A. 401(K) PLAN 2022 462637595 2023-09-08 RODERICK M. URBANIAK M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7274474536
Plan sponsor’s address 13201 WALSINGHAM ROAD STE 200, LARGO, FL, 33774

Signature of

Role Plan administrator
Date 2023-09-08
Name of individual signing RODERICK URBANIAK
Valid signature Filed with authorized/valid electronic signature
RODERICK M. URBANIAK M.D., P.A. 401(K) PLAN 2021 462637595 2022-10-03 RODERICK M. URBANIAK M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7274474536
Plan sponsor’s address 13201 WALSINGHAM ROAD STE 200, LARGO, FL, 33774

Signature of

Role Plan administrator
Date 2022-10-03
Name of individual signing RODERICK URBANIAK
Valid signature Filed with authorized/valid electronic signature
RODERICK M. URBANIAK, M. D, P.A., 401(K) PLAN 2020 462637595 2021-07-20 RODERICK M. URBANIAK M.D, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7272611754
Plan sponsor’s address 13201 WALSINGHAM ROAD, SUITE 200, LARGO, FL, 33774
RODERICK M. URBANIAK, M. D, P.A., 401(K) PLAN 2019 462637595 2020-09-29 RODERICK M. URBANIAK M.D, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7272611754
Plan sponsor’s address 13201 WALSINGHAM ROAD, SUITE 200, LARGO, FL, 33774

Key Officers & Management

Name Role Address
URBANIAK RODERICK Vice President 13201 Walsingham Road, Largo, FL, 33774
URBANIAK RODERICK Secretary 13201 Walsingham Road, Largo, FL, 33774
URBANIAK RODERICK Treasurer 13201 Walsingham Road, Largo, FL, 33774
URBANIAK RODERICK Director 13201 Walsingham Road, Largo, FL, 33774
URBANIAK RODERICK President 13201 Walsingham Road, Largo, FL, 33774
Hershkowitz & Kunitzer, P.A. Agent 5039 Central Avenue, St. Petersburg, FL, 337108240

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000048024 URBANIAK PLASTIC SURGERY & MEDICAL SPA ACTIVE 2023-04-15 2028-12-31 - 13201 WALSINGHAM ROAD, SUITE 200, LARGO, FL, 33774
G14000028280 CLEARWATER CENTER FOR COSMETIC SURGERY EXPIRED 2014-03-20 2019-12-31 - 709 LAKEVIEW ROAD, CLEARWATER, FL, 33758
G14000028282 CLEARWATER CENTER FOR PLASTIC SURGERY EXPIRED 2014-03-20 2019-12-31 - 709 LAKEVIEW ROAD, CLEARWATER, FL, 33758
G14000028283 CENTER FOR COSMETIC AND PLASTIC SURGERY EXPIRED 2014-03-20 2019-12-31 - 709 LAKEVIEW ROAD, CLEARWATER, FL, 33758
G14000028285 CLEARWATER COSMETIC CENTER EXPIRED 2014-03-20 2019-12-31 - 709 LAKEVIEW ROAD, CLEARWATER, FL, 33758

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-26 13201 Walsingham Road, Suite 200, Largo, FL 33774 -
CHANGE OF MAILING ADDRESS 2018-04-26 13201 Walsingham Road, Suite 200, Largo, FL 33774 -
REGISTERED AGENT NAME CHANGED 2014-05-01 Hershkowitz & Kunitzer, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2014-05-01 5039 Central Avenue, St. Petersburg, FL 33710-8240 -

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-13
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-03-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1207467800 2020-05-01 0455 PPP 13201 WALSINGHAM RD, LARGO, FL, 33774
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114172
Loan Approval Amount (current) 114172
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58036
Servicing Lender Name Fifth Third Bank
Servicing Lender Address 38 Fountain Sq Plz, CINCINNATI, OH, 45263
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LARGO, PINELLAS, FL, 33774-0001
Project Congressional District FL-13
Number of Employees 7
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 58036
Originating Lender Name Fifth Third Bank
Originating Lender Address CINCINNATI, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 115859.21
Forgiveness Paid Date 2021-11-01

Date of last update: 02 Apr 2025

Sources: Florida Department of State