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CARLOS MEDINA MD PA - Florida Company Profile

Company Details

Entity Name: CARLOS MEDINA MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CARLOS MEDINA MD PA 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: 04 Mar 2014 (11 years ago)
Document Number: P14000019960
FEI/EIN Number 46-5001125

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

Address: 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019
Mail Address: 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019
ZIP code: 33019
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700242617 2016-01-07 2024-10-15 1101 WATERSIDE LN, HOLLYWOOD, FL, 330195005, US 21110 BISCAYNE BLVD STE 201, AVENTURA, FL, 331801251, US

Contacts

Phone +1 786-817-7808
Fax 7865512299

Authorized person

Name CARLOS MEDINA
Role OWNER
Phone 7868177808

Taxonomy

Taxonomy Code 2086S0122X - Plastic and Reconstructive Surgery Physician
License Number ME106831
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAL LICENSE
Number ME106831
State FL

Key Officers & Management

Name Role Address
MEDINA CARLOS President 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019
THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC Agent -

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7747737110 2020-04-14 0455 PPP 11760 40TH ST SW, MIAMI, FL, 33175
Loan Status Date 2021-02-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 24687
Loan Approval Amount (current) 24687
Undisbursed Amount 0
Franchise Name -
Lender Location ID 53803
Servicing Lender Name U.S. Bank, National Association
Servicing Lender Address 425 Walnut St, CINCINNATI, OH, 45202-3956
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33175-0900
Project Congressional District FL-28
Number of Employees 1
NAICS code 621111
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 53803
Originating Lender Name U.S. Bank, National Association
Originating Lender Address CINCINNATI, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 24868.72
Forgiveness Paid Date 2021-01-07

Date of last update: 01 Mar 2025

Sources: Florida Department of State