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KIMBERLY GRAY-WHITE M.D. P.A. - Florida Company Profile

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Company Details

Entity Name: KIMBERLY GRAY-WHITE M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Aug 2013 (12 years ago)
Document Number: P13000067857
FEI/EIN Number 320416059
Mail Address: 2814 w Barcelona, TAMPA, FL, 33629, US
Address: 508 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33603, US
ZIP code: 33603
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRAY-WHITE KIMBERLY President 2814 w Barcelona, TAMPA, FL, 33629
GRAY-WHITE KIMBERLY M.D. Agent 2814 w Barcelona, TAMPA, FL, 33629

National Provider Identifier

NPI Number:
1851795223

Authorized Person:

Name:
KIMBERLY M GRAY-WHITE
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
320416059
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-07-26 508 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33603 -
REGISTERED AGENT ADDRESS CHANGED 2021-07-26 2814 w Barcelona, TAMPA, FL 33629 -
CHANGE OF PRINCIPAL ADDRESS 2014-07-21 508 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33603 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-07-26
ANNUAL REPORT 2020-07-14
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-07-26
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-05-01

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$45,637.25
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,637.25
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$46,057.36
Servicing Lender:
Centennial Bank
Use of Proceeds:
Mortgage Interest: $45,637.25

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Date of last update: 02 Jul 2025

Sources: Florida Department of State