| Entity Name: | PEDRO Y. CHAN, R. PH., DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PEDRO Y. CHAN, R. PH., DO, PA 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Feb 1997 (28 years ago) |
| Document Number: | P97000016978 |
| FEI/EIN Number |
593426300
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL, 32765, US |
| Mail Address: | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL, 32765, US |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518069111 | 2006-09-03 | 2011-11-01 | 101 LAKE HAYES RD, STE 101, OVIEDO, FL, 327659097, US | 101 LAKE HAYES RD, STE 101, OVIEDO, FL, 327659097, US | |||||||||||||||||||
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| Phone | +1 407-365-9010 |
Authorized person
| Name | DR. PEDRO Y CHAN |
| Role | PRESIDENT |
| Phone | 4073659010 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 046866500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAN PEDRO Y | President | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL, 32765 |
| CHAN PEDRO Y | Agent | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL, 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G92022000017 | OVIEDO FAMILY CLINIC | ACTIVE | 1992-01-22 | 2027-12-31 | - | 101 LAKE HAYES RD, #105, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-10 | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL 32765 | - |
| CHANGE OF MAILING ADDRESS | 2017-02-10 | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL 32765 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-10 | 101 LAKE HAYES ROAD STE 105, OVIEDO, FL 32765 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7961788503 | 2021-03-08 | 0491 | PPS | 101 Lake Hayes Rd Ste 105, Oviedo, FL, 32765-9097 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6423227305 | 2020-04-30 | 0491 | PPP | 101 LAKE HAYES RD STE 105, OVIEDO, FL, 32765-9097 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State
