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VOLUSIA HAND SURGERY CLINIC, P.A.

VOLUSIA HAND SURGERY CLINIC, P.A. - Florida Company Profile

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Company Details

Entity Name:	VOLUSIA HAND SURGERY CLINIC, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	28 Jun 1993 (32 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	19 Oct 1994 (31 years ago)
Document Number:	P93000045767
FEI/EIN Number	593188714
Address:	3635 S CLYDE MORRIS BLVD, STE 900, PORT ORANGE, FL, 32129, US
Mail Address:	3635 S CLYDE MORRIS BLVD, STE 900, PORT ORANGE, FL, 32129, US
ZIP code:	32129
City:	Port Orange
County:	Volusia
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
EATHIRAJU SRIKANTH MD	President	3635 S CLYDE MORRIS BLVD, PORT ORANGE, FL, 32129
EATHIRAJU SRIKANTH M.D.	Agent	3635 S CLYDE MORRIS BLVD, PORT ORANGE, FL, 32129
HENRY SARAH EMD	Director	3635 S CLYDE MORRIS BLVD, PORT ORANGE, FL, 32129

National Provider Identifier

NPI Number:

1013936087

Link:

View on NPI website

Authorized Person:

Name:

TAMARA RAY CLANCY

Role:

MD

Phone:

3867884263

Taxonomy:

Selected Taxonomy:

207XS0106X - Orthopaedic Hand Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 386-788-4263

Fax:

3867880679

Form 5500 Series

Employer Identification Number (EIN):

593188714

Plan Year:

2015

Number Of Participants:

11

Sponsors Telephone Number:

3867884263

File:

Plan Year:

2014

Number Of Participants:

10

Sponsors Telephone Number:

3867884263

File:

Plan Year:

2013

Number Of Participants:

10

Sponsors Telephone Number:

3867884263

File:

Plan Year:

2012

Number Of Participants:

11

Sponsors Telephone Number:

3867884263

File:

Plan Year:

2011

Number Of Participants:

11

Sponsors Telephone Number:

3867884263

File:

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2015-01-13	CLANCY, TAMARA R, M.D.	-
CHANGE OF PRINCIPAL ADDRESS	2011-04-29	3635 S CLYDE MORRIS BLVD, STE 900, PORT ORANGE, FL 32129	-
CHANGE OF MAILING ADDRESS	2011-04-29	3635 S CLYDE MORRIS BLVD, STE 900, PORT ORANGE, FL 32129	-
REGISTERED AGENT ADDRESS CHANGED	2011-04-29	3635 S CLYDE MORRIS BLVD, STE 900, PORT ORANGE, FL 32129	-
REINSTATEMENT	1994-10-19	-	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	1994-08-26	-	-

Documents

Name	Date
ANNUAL REPORT	2024-01-18
ANNUAL REPORT	2023-01-19
ANNUAL REPORT	2022-01-27
ANNUAL REPORT	2021-01-19
ANNUAL REPORT	2020-01-16
ANNUAL REPORT	2019-02-07
ANNUAL REPORT	2018-01-12
ANNUAL REPORT	2017-01-10
AMENDED ANNUAL REPORT	2016-10-05
ANNUAL REPORT	2016-01-29

USAspending Awards / Financial Assistance

Date:

2020-04-29

Link:

View on USAspending

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:

147903.00

Total Face Value Of Loan:

147903.00

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$148,000

Date Approved:

2021-02-22

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$148,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$149,467.67

Servicing Lender:

Truist Bank

Use of Proceeds:

Payroll: $147,995
Utilities: $1

Jobs Reported:

13

Initial Approval Amount:

$147,903

Date Approved:

2020-04-29

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$147,903

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$149,303.97

Servicing Lender:

Truist Bank

Use of Proceeds:

Payroll: $147,903

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Date of last update: 03 Aug 2025

Sources: Florida Department of State