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JEREMY D. MCCONNELL, MD, P.A. - Florida Company Profile

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Company Details

Entity Name: JEREMY D. MCCONNELL, MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Apr 2016 (9 years ago)
Document Number: P16000032802
FEI/EIN Number 81-2260757
Address: 5717 21st Ave W, Bradenton, FL, 34209, US
Mail Address: 5717 21st Ave W, Bradenton, FL, 34209, US
ZIP code: 34209
City: Bradenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCCONNELL JEREMY D Director 313 RAGDOLL RUN, BRADENTON, FL, 34212
- Agent -

National Provider Identifier

NPI Number:
1841644358
Certification Date:
2021-11-19

Authorized Person:

Name:
DR. JEREMY DAVID MCCONNELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207QB0002X - Obesity Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207QS1201X - Sleep Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
9417928484

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000064526 FLORIDA SLEEP SPECIALISTS ACTIVE 2021-05-11 2026-12-31 - 5517 21 ST AVE W, SUITE F, BRADENTON, FL, 34209
G18000019951 DISCOVER HEALTH ACTIVE 2018-02-05 2028-12-31 - 5717 21ST AVE WEST, BRADENTON, FL, 34209
G16000063130 SLEEP MANATEE EXPIRED 2016-06-27 2021-12-31 - 5517 21ST AVE W, SUITE F, BRADENTON, FL, 34209

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-05-10 5717 21st Ave W, Bradenton, FL 34209 -
CHANGE OF MAILING ADDRESS 2022-05-10 5717 21st Ave W, Bradenton, FL 34209 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-05-10
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-28
Domestic Profit 2016-04-11

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:
153315.00
Total Face Value Of Loan:
153315.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$153,315
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$153,315
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$155,354.94
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $153,315

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Date of last update: 01 Jul 2025

Sources: Florida Department of State