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DEBORAH LONGWILL, D.O., P.A. - Florida Company Profile

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Company Details

Entity Name: DEBORAH LONGWILL, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jul 1996 (29 years ago)
Document Number: P96000056468
FEI/EIN Number 650682570
Address: 7700 S.W. 104 STREET, SECOND FLOOR, MIAMI, FL, 33156
Mail Address: 7700 sw 104 street, ATTN: Jessica Gonzalez, MIAMI, FL, 33156, US
ZIP code: 33156
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Longwill Deborah President 7700 S.W. 104 STREET, MIAMI, FL, 33156
LONGWILL DEBORAH D Agent 7700 S.W. 104 STREET, MIAMI, FL, 33156

National Provider Identifier

NPI Number:
1538111679

Authorized Person:

Name:
DR. DEBORAH MICHELLE LONGWILL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3052794180

Form 5500 Series

Employer Identification Number (EIN):
650682570
Plan Year:
2023
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
40
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
41
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2018-03-12 7700 S.W. 104 STREET, SECOND FLOOR, MIAMI, FL 33156 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-08 7700 S.W. 104 STREET, SECOND FLOOR, MIAMI, FL 33156 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-08 7700 S.W. 104 STREET, SECOND FLOOR, MIAMI, FL 33156 -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-07-15
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-08-17
ANNUAL REPORT 2016-01-21
AMENDED ANNUAL REPORT 2015-12-02

Paycheck Protection Program

Jobs Reported:
31
Initial Approval Amount:
$300,000
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$300,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$303,230.14
Servicing Lender:
City National Bank of Florida
Use of Proceeds:
Payroll: $225,000
Utilities: $75,000
Jobs Reported:
33
Initial Approval Amount:
$300,000
Date Approved:
2021-02-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$300,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$302,276.71
Servicing Lender:
City National Bank of Florida
Use of Proceeds:
Payroll: $299,998
Utilities: $1

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Date of last update: 03 Jul 2025

Sources: Florida Department of State