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CARLOS MEDINA MD PA - Florida Company Profile

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Company Details

Entity Name: CARLOS MEDINA MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Mar 2014 (11 years ago)
Document Number: P14000019960
FEI/EIN Number 46-5001125
Address: 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019
Mail Address: 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019
ZIP code: 33019
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MEDINA CARLOS President 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019
- Agent -

National Provider Identifier

NPI Number:
1700242617
Certification Date:
2024-10-15

Authorized Person:

Name:
CARLOS MEDINA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7865512299

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-04-12 4929 SW 74TH CT, MIAMI, FL 33155 -
REGISTERED AGENT NAME CHANGED 2018-04-05 THE LAW OFFICES OF MAX A ADAMS ESQ PLLC -

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-06-12
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-02-24
ANNUAL REPORT 2015-03-26

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
24687.00
Total Face Value Of Loan:
24687.00
Date:
2020-04-15
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:
24687.00
Total Face Value Of Loan:
24687.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$24,687
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,687
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,868.72
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $24,687

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Date of last update: 01 Aug 2025

Sources: Florida Department of State