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MENCIA M GOMEZ MD PA - Florida Company Profile

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Company Details

Entity Name: MENCIA M GOMEZ MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MENCIA M GOMEZ 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: 07 Feb 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Oct 2020 (5 years ago)
Document Number: P17000012809
FEI/EIN Number 81-5317479

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

Address: 1946 Tyler Street, HOLLYWOOD, FL, 33020, BR
Mail Address: 1946 Tyler Street, HOLLYWOOD, 33020, BR
ZIP code: 33020
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GOMEZ MENCIA M President 1946 Tyler Street, HOLLYWOOD, 33020
GOMEZ MENCIA M Treasurer 1946 Tyler Street, HOLLYWOOD, 33020
GOMEZ MENCIA M Agent 1946 Tyler Street, HOLLYWOOD, FL, 33020

National Provider Identifier

NPI Number:
1134669963
Certification Date:
2024-06-06

Authorized Person:

Name:
DR. MENCIA M GOMEZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
5713862627

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-15 1946 Tyler Street, HOLLYWOOD, FL 33020 BR -
CHANGE OF MAILING ADDRESS 2023-03-15 1946 Tyler Street, HOLLYWOOD, FL 33020 BR -
REGISTERED AGENT ADDRESS CHANGED 2023-03-15 1946 Tyler Street, HOLLYWOOD, FL 33020 -
REINSTATEMENT 2020-10-15 - -
REGISTERED AGENT NAME CHANGED 2020-10-15 GOMEZ, MENCIA M -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-03-17
REINSTATEMENT 2020-10-15
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-25
Domestic Profit 2017-02-07

USAspending Awards / Financial Assistance

Date:
2020-05-04
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:
4617.00
Total Face Value Of Loan:
4617.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$4,617
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$4,617
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$4,658.49
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $4,617

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Date of last update: 03 Jul 2025

Sources: Florida Department of State