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GARY SHIENBAUM, MD, PA - Florida Company Profile

Company Details

Entity Name: GARY SHIENBAUM, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

GARY SHIENBAUM, 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: 25 Apr 2017 (8 years ago)
Document Number: P17000037698
FEI/EIN Number 82-2398271

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

Address: 7261 Sheridan Street, HOLLYWOOD, FL, 33024, US
Mail Address: 7261 Sheridan Street, HOLLYWOOD, FL, 33024, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457918625 2019-05-23 2019-05-23 1429 SHORELINE WAY, HOLLYWOOD, FL, 330195007, US 7261 SHERIDAN ST STE 100B, HOLLYWOOD, FL, 330242708, US

Contacts

Phone +1 786-213-4803
Phone +1 954-251-1802

Authorized person

Name GARY SHIENBAUM
Role PRESIDENT
Phone 3058987720

Taxonomy

Taxonomy Code 207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary Yes

Key Officers & Management

Name Role Address
SHIENBAUM GARY MD President 1410 SHORELINE WAY, HOLLYWOOD, FL, 33019
SHIENBAUM GARY MD Director 1410 SHORELINE WAY, HOLLYWOOD, FL, 33019
SHIENBAUM GARY MD Secretary 1410 SHORELINE WAY, HOLLYWOOD, FL, 33019
SHIENBAUM GARY MD Treasurer 1410 SHORELINE WAY, HOLLYWOOD, FL, 33019
Shienbaum Gary Dr. Agent 1410 SHORELINE WAY, HOLLYWOOD, FL, 33019

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000086956 HOLLYWOOD RETINA CONSULTANTS ACTIVE 2019-08-16 2029-12-31 - 7261 SHERIDAN STREET, SUITE 320, HOLLYWOOD, FL, 33024

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-02-08 1410 SHORELINE WAY, HOLLYWOOD, FL 33019 -
CHANGE OF PRINCIPAL ADDRESS 2020-03-30 7261 Sheridan Street, Suite 320, HOLLYWOOD, FL 33024 -
CHANGE OF MAILING ADDRESS 2020-03-30 7261 Sheridan Street, Suite 320, HOLLYWOOD, FL 33024 -
REGISTERED AGENT NAME CHANGED 2018-04-23 Shienbaum, Gary, Dr. -

Documents

Name Date
ANNUAL REPORT 2025-02-17
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-05-13
ANNUAL REPORT 2018-04-23
Domestic Profit 2017-04-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2288407309 2020-04-29 0455 PPP 7261 Sheridan Street Suite 320, HOLLYWOOD, FL, 33024-2708
Loan Status Date 2021-01-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 13452
Loan Approval Amount (current) 13452
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17414
Servicing Lender Name Ocean Bank
Servicing Lender Address 780 NW 42nd Ave, MIAMI, FL, 33126-5540
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HOLLYWOOD, BROWARD, FL, 33024-2708
Project Congressional District FL-25
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 17414
Originating Lender Name Ocean Bank
Originating Lender Address MIAMI, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 13530.26
Forgiveness Paid Date 2021-02-12

Date of last update: 02 Mar 2025

Sources: Florida Department of State