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JOSEPH SHALIT, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JOSEPH SHALIT, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 May 1996 (29 years ago)
Document Number: P96000044042
FEI/EIN Number 593396174
Address: SHALIT JOSEPH, 484 NORTH WILSON STREET, CRESTVIEW, FL, 32536, US
Mail Address: SHALIT JOSEPH, P.O. BOX 160, CRESTVIEW, FL, 32536, US
ZIP code: 32536
City: Crestview
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHALIT JOSEPH Director 484 NORTH WILSON STREET, CRESTVIEW, FL, 32536
SHALIT JOSEPH Agent 143 Conquest Ave, Crestview, FL, 32536

National Provider Identifier

NPI Number:
1356650683

Authorized Person:

Name:
DR. JOSEPH SHALIT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8506822384

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2016-04-30 143 Conquest Ave, Crestview, FL 32536 -
CHANGE OF PRINCIPAL ADDRESS 2010-05-28 SHALIT JOSEPH, 484 NORTH WILSON STREET, CRESTVIEW, FL 32536 -
CHANGE OF MAILING ADDRESS 2005-04-06 SHALIT JOSEPH, 484 NORTH WILSON STREET, CRESTVIEW, FL 32536 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000368484 TERMINATED 1000000714859 OKALOOSA 2016-06-06 2036-06-08 $ 1,768.64 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-05-05
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-01-11

USAspending Awards / Financial Assistance

Date:
2020-05-20
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:
8333.00
Total Face Value Of Loan:
8333.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$8,333
Date Approved:
2020-05-19
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$8,333
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $8,333

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Date of last update: 01 Aug 2025

Sources: Florida Department of State