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BLOCK, NATION, CHASE, & SMOLEN FAMILY MEDICINE, INC. - Florida Company Profile

Company Details

Entity Name: BLOCK, NATION, CHASE, & SMOLEN FAMILY MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLOCK, NATION, CHASE, & SMOLEN FAMILY MEDICINE, INC. 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: 29 May 1997 (28 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 31 Mar 2010 (15 years ago)
Document Number: P97000047391
FEI/EIN Number 593451416

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

Address: 2441 W. STATE RD 426, 2011, OVIEDO, FL, 32765
Mail Address: 2441 W. STATE RD 426, 2011, OVIEDO, FL, 32765
ZIP code: 32765
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679671200 2006-09-20 2013-01-28 2441 WEST STATE ROAD 426, SUITE 2011, OVIEDO, FL, 327654515, US 2441 WEST STATE ROAD 426, SUITE 2011, OVIEDO, FL, 327654515, US

Contacts

Phone +1 407-678-6888
Fax 4076780252

Authorized person

Name BRADLEY M BLOCK
Role OWNER
Phone 4076786888

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME0061495
State FL
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number OS0007059
State FL
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME0074034
State FL
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME90314
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
BLOCK BRADLEY Director 2441 W. STATE ROAD 426, STE 2011, OVIEDO, FL, 32765
NATION AMY J Director 2441 W. STATE ROAD 426, STE 2011, OVIEDO, FL, 32765
CRAIG CHASE P Director 2441 W. STATE ROAD 426, STE 2011, OVIEDO, FL, 32765
SMOLEN SUSAN G Director 2441 W. STATEROAD 426, STE 2011, OVIEDO, FL, 32765
Weatherford William P Agent 3203 Lawton Road, Orlando, FL, 32803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000032540 BLOCK & NATION, P.A. EXPIRED 2010-04-12 2015-12-31 - 2441 W. STATE ROAD 426, STE 2011, OVIEDO, FL, 32765
G10000032541 BNCSFM EXPIRED 2010-04-12 2015-12-31 - 2441 W. STATE ROAD 426, STE 2011, OVIEDO, FL, 32765

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-01-03 3203 Lawton Road, Suite 100, Orlando, FL 32803 -
REGISTERED AGENT NAME CHANGED 2017-01-09 Weatherford, William P -
AMENDMENT AND NAME CHANGE 2010-03-31 BLOCK, NATION, CHASE, & SMOLEN FAMILY MEDICINE, INC. -
CHANGE OF PRINCIPAL ADDRESS 2008-03-19 2441 W. STATE RD 426, 2011, OVIEDO, FL 32765 -
CHANGE OF MAILING ADDRESS 2008-03-19 2441 W. STATE RD 426, 2011, OVIEDO, FL 32765 -
CANCEL ADM DISS/REV 2006-11-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
CANCEL ADM DISS/REV 2005-05-31 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-01-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8674307102 2020-04-15 0491 PPP 2441 W STATE ROAD 426 SUITE 2011, OVIEDO, FL, 32765-4515
Loan Status Date 2021-04-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 186200
Loan Approval Amount (current) 186200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address OVIEDO, SEMINOLE, FL, 32765-4515
Project Congressional District FL-07
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 187812.03
Forgiveness Paid Date 2021-03-10

Date of last update: 01 Apr 2025

Sources: Florida Department of State