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MID-BAY MEDICAL SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: MID-BAY MEDICAL SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Dec 1994 (31 years ago)
Date of dissolution: 31 Mar 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 31 Mar 2022 (3 years ago)
Document Number: P94000091868
FEI/EIN Number 593284557
Address: 6101 Webb Rd, TAMPA, FL, 33615, US
Mail Address: P.O. Box 35160, St. Petersburg, FL, 33705, US
ZIP code: 33615
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHAUMONT JORGE L Director P.O. Box 35160, St. Petersburg, FL, 33705
ABLES BETH A Manager P.O. Box 35160, St. Petersburg, FL, 33705
CHAUMONT JORGE L Agent 6101 Webb Rd, TAMPA, FL, 33615

National Provider Identifier

NPI Number:
1417128869

Authorized Person:

Name:
DR. JORGE L CHAUMONT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8138778356

Form 5500 Series

Employer Identification Number (EIN):
593284557
Plan Year:
2015
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-03-31 - -
CHANGE OF MAILING ADDRESS 2021-02-06 6101 Webb Rd, Suite 209, TAMPA, FL 33615 -
CHANGE OF PRINCIPAL ADDRESS 2020-01-20 6101 Webb Rd, Suite 209, TAMPA, FL 33615 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-20 6101 Webb Rd, Suite 209, TAMPA, FL 33615 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-03-31
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-02-28
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-02-01

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$54,757
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$54,757
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$55,228.06
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $54,757
Jobs Reported:
3
Initial Approval Amount:
$50,593
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,593
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$51,058.73
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $50,593

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Date of last update: 03 Aug 2025

Sources: Florida Department of State