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WESLEY NELSON, DDS PA

Company Details

Entity Name: WESLEY NELSON, DDS PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 May 2017 (8 years ago)
Document Number: P17000040412
FEI/EIN Number 82-1421083
Address: 5770 WILES ROAD, CORAL SPRINGS, FL 33067
Mail Address: 5770 WILES ROAD, CORAL SPRINGS, FL 33067
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649707696 2017-05-20 2018-06-27 5770 WILES RD, CORAL SPRINGS, FL, 330672156, US 5770 WILES RD, CORAL SPRINGS, FL, 33067, US

Contacts

Phone +1 954-255-5166

Authorized person

Name DR. WESLEY NELSON
Role DENTIST
Phone 2016743878

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN21633
State FL
Is Primary Yes

Agent

Name Role Address
NELSON, WESLEY, DDS Agent 5770 WILES ROAD, CORAL SPRINGS, FL 33067

President

Name Role Address
NELSON, WESLEY, DDS President 5770 WILES ROAD, CORAL SPRINGS, FL 33067

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000113932 BENJAMIN GOLDBERG, DDS PA EXPIRED 2017-10-16 2022-12-31 No data 5770 WILES RD, CORAL SPRINGS, FL, 33067

Documents

Name Date
ANNUAL REPORT 2024-07-11
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-08-02
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-05-09
Domestic Profit 2017-05-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1790067402 2020-05-04 0455 PPP 5770 WILES RD, CORAL SPRINGS, FL, 33067-2156
Loan Status Date 2021-06-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51560
Loan Approval Amount (current) 51560
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CORAL SPRINGS, BROWARD, FL, 33067-2156
Project Congressional District FL-23
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 52085.13
Forgiveness Paid Date 2021-05-13
3626008301 2021-01-22 0455 PPS 5770 Wiles Rd, Coral Springs, FL, 33067-2156
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50075
Loan Approval Amount (current) 50075
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Coral Springs, BROWARD, FL, 33067-2156
Project Congressional District FL-23
Number of Employees 4
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 50404.26
Forgiveness Paid Date 2021-09-22

Date of last update: 18 Feb 2025

Sources: Florida Department of State