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RIDGE MANOR FAMILY CLINIC INC - Florida Company Profile

Company Details

Entity Name: RIDGE MANOR FAMILY CLINIC INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RIDGE MANOR FAMILY CLINIC 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: 11 Dec 1997 (27 years ago)
Document Number: P97000104573
FEI/EIN Number 593480916

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

Address: 12204 CORTEZ BLVD, BROOKSVILLE, FL, 34613, US
Mail Address: POST OFFICE BOX 15781, BROOKSVILLE, FL, 34604, US
ZIP code: 34613
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730577115 2015-01-07 2015-02-10 PO BOX 15781, BROOKSVILLE, FL, 346040124, US 12204 CORTEZ BLVD, BROOKSVILLE, FL, 346132630, US

Contacts

Phone +1 352-799-3449
Fax 3527993214

Authorized person

Name DR. GOPAL R KORUPOLU
Role PHYSICIAN/OWNER
Phone 3527993449

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME0070951
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
KORUPOLU GOPAL R President 12204 CORTEZ BLDG-, BROOKSVILLE, FL, 34613
KORUPOLU GOPAL R Agent 12204 CORTEZ BLVD, BROOKSVILLE, FL, 34613

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-03-31 12204 CORTEZ BLVD, BROOKSVILLE, FL 34613 -
CHANGE OF MAILING ADDRESS 2012-03-31 12204 CORTEZ BLVD, BROOKSVILLE, FL 34613 -
REGISTERED AGENT ADDRESS CHANGED 2012-03-31 12204 CORTEZ BLVD, BROOKSVILLE, FL 34613 -

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-04-15
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-04-30
AMENDED ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6308247305 2020-04-30 0491 PPP 12204 Cortez Blvd, Brooksville, FL, 34613-2630
Loan Status Date -
Loan Status Exemption 4
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47700
Loan Approval Amount (current) 47700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooksville, HERNANDO, FL, 34613-2401
Project Congressional District FL-12
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount -
Forgiveness Paid Date -

Date of last update: 01 Apr 2025

Sources: Florida Department of State