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CLAY PULMONARY SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: CLAY PULMONARY SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Apr 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Oct 2019 (6 years ago)
Document Number: P15000030599
FEI/EIN Number 47-3633266
Address: 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL, 32073, US
Mail Address: 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ANTONIO-MIRANDA MARIA MD Director 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL, 32073
ANTONIO-MIRANDA MARIA BMD Agent 1665 KINGSLEY AVE SUITE 107, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1780071613

Authorized Person:

Name:
DR. MARIA ANTONIO-MIRANDA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
9042697796

Form 5500 Series

Employer Identification Number (EIN):
473633266
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-07-12 1665 KINGSLEY AVE SUITE 107, ORANGE PARK, FL 32073 -
CHANGE OF PRINCIPAL ADDRESS 2023-07-12 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2023-07-12 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073 -
REINSTATEMENT 2019-10-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REGISTERED AGENT NAME CHANGED 2017-01-09 ANTONIO-MIRANDA, MARIA B, MD -
REINSTATEMENT 2017-01-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-07-19
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-07-19
REINSTATEMENT 2019-10-14
ANNUAL REPORT 2018-01-22
REINSTATEMENT 2017-01-09
Domestic Profit 2015-04-03

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
93300.00
Total Face Value Of Loan:
93300.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$93,300
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$93,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$94,555.08
Servicing Lender:
Ameris Bank
Use of Proceeds:
Payroll: $74,640
Utilities: $18,660

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Date of last update: 03 Aug 2025

Sources: Florida Department of State