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SUMTER PEDIATRICS PA - Florida Company Profile

Company Details

Entity Name: SUMTER PEDIATRICS PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SUMTER PEDIATRICS 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: 26 Aug 2014 (11 years ago)
Document Number: P14000071113
FEI/EIN Number 47-1683504

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

Mail Address: 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 34711
Address: 617 S US HWY 301, SUITE B, SUMTERVILLE, FL, 33585
ZIP code: 33585
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265005565 2021-07-23 2021-07-23 617 S US 301 STE B, SUMTERVILLE, FL, 335855355, US 617 S US 301 STE B, SUMTERVILLE, FL, 335855355, US

Contacts

Phone +1 352-569-4980

Authorized person

Name MOHAMMAD AFZAL
Role OWNER
Phone 3523943929

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 014683501
State FL

Key Officers & Management

Name Role Address
AFZAL MOHAMMAD DR President 265 CITRUS TOWER BLVD SUITE 102, CLERMONT, FL, 34711
AFZAL NADIA Vice President 265 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL, 34711
AFZAL MOHAMMAD DR Agent 265 CITRUS TOWER BLVD, CLERMONT, FL, 34711

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-11 AFZAL, MOHAMMAD, DR -

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-02-17
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-02-02
ANNUAL REPORT 2016-01-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9962698403 2021-02-18 0491 PPS 617 S US 301 Ste B 617 S Us 301 Ste B, Sumterville, FL, 33585-5355
Loan Status Date 2021-11-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32810
Loan Approval Amount (current) 32810
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Sumterville, SUMTER, FL, 33585-5355
Project Congressional District FL-11
Number of Employees 3
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 33016.89
Forgiveness Paid Date 2021-10-08
7705127705 2020-05-01 0491 PPP 617 S US 301, SUMTERVILLE, FL, 33585-5355
Loan Status Date 2021-04-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32500
Loan Approval Amount (current) 32500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address SUMTERVILLE, SUMTER, FL, 33585-5355
Project Congressional District FL-11
Number of Employees 3
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 32776.25
Forgiveness Paid Date 2021-03-10

Date of last update: 01 Apr 2025

Sources: Florida Department of State