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PORT ORANGE INTERNISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: PORT ORANGE INTERNISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PORT ORANGE INTERNISTS, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 02 Feb 1995 (30 years ago)
Date of dissolution: 27 Sep 2024 (10 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (10 months ago)
Document Number: P95000009128
FEI/EIN Number 593292082

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: PO Box 1635, Minneola, FL, 34755, US
Address: 3890 TURTLE CREEK DR., SUITE C, PORT ORANGE, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Chahwala Kinjal BDr. President 3890 TURTLE CREEK DR., PORT ORANGE, FL, 32127
Moise Pierre C Vice President 3890 TURTLE CREEK DR., PORT ORANGE, FL, 32127
Chahwala Kinjal B Agent 3890 TURTLE CREEK DR., PORT ORANGE, FL, 32127
Moise Nikenston Dr. Treasurer 219 Big Sky Drive, Minneola, FL, 34715

National Provider Identifier

NPI Number:
1689861205

Authorized Person:

Name:
SOUHEIL MOUSSLY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
593292082
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF MAILING ADDRESS 2023-03-09 3890 TURTLE CREEK DR., SUITE C, PORT ORANGE, FL 32127 -
REGISTERED AGENT ADDRESS CHANGED 2023-03-09 3890 TURTLE CREEK DR., SUITE C, PORT ORANGE, FL 32127 -
REGISTERED AGENT NAME CHANGED 2018-01-02 Chahwala, Kinjal B -
CHANGE OF PRINCIPAL ADDRESS 2010-03-29 3890 TURTLE CREEK DR., SUITE C, PORT ORANGE, FL 32127 -
NAME CHANGE AMENDMENT 2004-12-15 PORT ORANGE INTERNISTS, P.A. -

Documents

Name Date
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-03-06
ANNUAL REPORT 2014-01-13

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
15584.00
Total Face Value Of Loan:
15584.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$15,584
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,584
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$15,758.63
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $15,584

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Date of last update: 03 Jul 2025

Sources: Florida Department of State