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RIZWANA THANAWALA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: RIZWANA THANAWALA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 May 1997 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Oct 2016 (9 years ago)
Document Number: P97000040962
FEI/EIN Number 593445857
Address: 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055, US
Mail Address: 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055, US
ZIP code: 32055
City: Lake City
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DUTERTE MITCHELL M Director 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055
THANAWALA RIZWANA Agent 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055
THANAWALA RIZWANA M Director 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055

National Provider Identifier

NPI Number:
1194945097

Authorized Person:

Name:
RIZWANA THANAWALA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
3867586995

Form 5500 Series

Employer Identification Number (EIN):
593445857
Plan Year:
2024
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
15
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000029297 PATHOLOGY ASSOCIATES OF NORTH FLORIDA EXPIRED 2015-03-20 2020-12-31 - 4355 NW AMERICAN LANE, LAKE CITY, FL, 32055
G09000122135 GASTROENTEROLOGY ASSOCIATES EXPIRED 2009-06-17 2014-12-31 - 4355 NW AMERICAN LANE, SUITE 1, LAKE CITY, FL, 32055, US

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-10-20 - -
REGISTERED AGENT NAME CHANGED 2016-10-20 THANAWALA, RIZWANA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2010-03-01 4367 NW AMERICAN LANE, LAKE CITY, FL 32055 -
CHANGE OF MAILING ADDRESS 2010-03-01 4367 NW AMERICAN LANE, LAKE CITY, FL 32055 -
REGISTERED AGENT ADDRESS CHANGED 2010-03-01 4367 NW AMERICAN LANE, LAKE CITY, FL 32055 -
AMENDMENT 2004-06-21 - -

Documents

Name Date
ANNUAL REPORT 2024-04-13
ANNUAL REPORT 2023-04-01
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-05-24
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-03-20
REINSTATEMENT 2016-10-20
ANNUAL REPORT 2015-03-31

USAspending Awards / Financial Assistance

Date:
2021-02-10
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:
162800.00
Total Face Value Of Loan:
162800.00
Date:
2020-04-09
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:
122500.00
Total Face Value Of Loan:
122500.00
Date:
2020-04-09
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:
122500.00
Total Face Value Of Loan:
122500.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$162,800
Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$162,800
Race:
Asian
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$163,921.51
Servicing Lender:
First Federal Bank
Use of Proceeds:
Payroll: $162,797
Utilities: $1
Jobs Reported:
10
Initial Approval Amount:
$122,500
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$122,500
Race:
Asian
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$123,459.58
Servicing Lender:
First Federal Bank
Use of Proceeds:
Payroll: $122,500

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Date of last update: 01 Aug 2025

Sources: Florida Department of State