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PETER M. HABASHY, PA

Company Details

Entity Name: PETER M. HABASHY, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Jun 2017 (8 years ago)
Document Number: P17000051752
FEI/EIN Number 82-1954038
Address: 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL 33418
Mail Address: 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL 33418
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083273320 2019-06-11 2019-06-11 4388 GOLFERS CIR W, PALM BEACH GARDENS, FL, 334104632, US 4595 NORTHLAKE BLVD, SUITE 103 AND 114, PALM BEACH GARDENS, FL, 33418, US

Contacts

Phone +1 561-254-4950
Phone +1 561-427-7711

Authorized person

Name PETER HABASHY
Role OWNER
Phone 5612544950

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
HABASHY, PETER M Agent 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL 33418

President

Name Role Address
HABASHY, PETER M President 4595 NORTHLAKE BLVD, SUITE 103 PALM BEACH GARDENS, FL 33418

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000086498 HABASHY DENTAL ACTIVE 2019-08-15 2029-12-31 No data 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL, 33418

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-04-26 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL 33418 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-26 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL 33418 No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-30 4595 NORTHLAKE BLVD, SUITE 103, PALM BEACH GARDENS, FL 33418 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-07-11
Domestic Profit 2017-06-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4790067406 2020-05-11 0455 PPP 4595 NORTHLAKE BLVD STE 103, PALM BEACH GARDENS, FL, 33418-4647
Loan Status Date 2022-10-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3734
Loan Approval Amount (current) 13623
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 PALM BEACH GARDENS, PALM BEACH, FL, 33418-4647
Project Congressional District FL-21
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 11420.59
Forgiveness Paid Date 2022-04-29

Date of last update: 18 Feb 2025

Sources: Florida Department of State