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CORAL SPRINGS MEDICAL GROUP INC - Florida Company Profile

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Company Details

Entity Name: CORAL SPRINGS MEDICAL GROUP INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Mar 2018 (7 years ago)
Last Event: AMENDMENT
Event Date Filed: 09 Mar 2020 (5 years ago)
Document Number: P18000028292
FEI/EIN Number 82-4966634
Address: 10000 WEST SAMPLE RD, CORAL SPRINGS, FL, 33065, US
Mail Address: 10000 WEST SAMPLE RD, CORAL SPRINGS, FL, 33065, US
ZIP code: 33065
City: Coral Springs
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Gajraj Jason N Director 10000 West Sample Road, Coral Springs, FL, 33065
GAJRAJ MOHAMED H Director 10000 West Sample Road, Coral Springs, FL, 33065
GAJRAJ JASON N Agent 10000 WEST SAMPLE RD, CORAL SPRINGS, FL, 33065

National Provider Identifier

NPI Number:
1255824157
Certification Date:
2023-05-31

Authorized Person:

Name:
KHYATI V SOLANKI
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-09 10000 WEST SAMPLE RD, SUITE A, CORAL SPRINGS, FL 33065 -
AMENDMENT 2020-03-09 - -
CHANGE OF MAILING ADDRESS 2020-03-09 10000 WEST SAMPLE RD, SUITE A, CORAL SPRINGS, FL 33065 -
REGISTERED AGENT NAME CHANGED 2020-03-09 GAJRAJ, JASON N. -
REINSTATEMENT 2019-10-18 - -
REGISTERED AGENT ADDRESS CHANGED 2019-10-18 10000 WEST SAMPLE RD, SUITE A, CORAL SPRINGS, FL 33065 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-06-29
Amendment 2020-03-09
REINSTATEMENT 2019-10-18
Domestic Profit 2018-03-23

USAspending Awards / Financial Assistance

Date:
2021-03-12
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:
23628.00
Total Face Value Of Loan:
23628.00
Date:
2020-06-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
88400.00
Total Face Value Of Loan:
88400.00
Date:
2020-06-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
88400.00
Total Face Value Of Loan:
88400.00
Date:
2020-05-03
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:
20800.00
Total Face Value Of Loan:
20800.00
Date:
2020-05-03
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:
20800.00
Total Face Value Of Loan:
20800.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$23,628
Date Approved:
2021-03-12
Loan Status:
Exemption 4
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,628
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $23,626
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$20,800
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,800
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,996.03
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $20,800

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Date of last update: 01 Aug 2025

Sources: Florida Department of State