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PINES FOOT & ANKLE SURGICAL GROUP, INC - Florida Company Profile

Company Details

Entity Name: PINES FOOT & ANKLE SURGICAL GROUP, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PINES FOOT & ANKLE SURGICAL GROUP, 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: 27 May 1998 (27 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Jan 2004 (21 years ago)
Document Number: P98000047534
FEI/EIN Number 650846878

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

Address: 17901 N.W. 5 STREET, SUITE #106, PEMBROKE PINES, FL, 33029
Mail Address: 17901 N.W. 5 STREET, STE. 106, PEMBROKE PINES, FL, 33029
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326180795 2007-02-13 2010-08-19 PO BOX 825892, PEMBROKE PINES, FL, 330825892, US 17901 NW 5TH ST, SUITE # 106, PEMBROKE PINES, FL, 330292810, US

Contacts

Phone +1 954-704-2888
Fax 9547040227

Authorized person

Name DR. JORGE L VALDES
Role PRESIDENT
Phone 9547042888

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
License Number PO-2687
State FL
Is Primary No
Taxonomy Code 213EP1101X - Primary Podiatric Medicine Podiatrist
License Number PO-2687
State FL
Is Primary No
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO-2687
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 390463600
State FL

Key Officers & Management

Name Role Address
VALDES JORGE LUIS President 17901 N.W. 5 STREET, STE. 106, PEMBROKE PINES, FL, 33029
VALDES JORGE JUAN Secretary 17901 N.W. 5 STREET, STE. 106, PEMBROKE PINES, FL, 33029
VALDES MARIA ELENA Vice President 17901 N.W 5 STREET,STE. 106, PEMBROKE PINES, FL, 33029
VALDES JORGE LUIS Agent 17901 N.W. 5TH STREET, PEMBROKE PINES, FL, 33029

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-04-11 17901 N.W. 5 STREET, SUITE #106, PEMBROKE PINES, FL 33029 -
REINSTATEMENT 2004-01-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 - -
REINSTATEMENT 2000-02-14 - -
REGISTERED AGENT ADDRESS CHANGED 2000-02-14 17901 N.W. 5TH STREET, SUITE 106, PEMBROKE PINES, FL 33029 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1999-09-24 - -

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-02-12
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-06-14
ANNUAL REPORT 2018-02-21
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-03-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2209897101 2020-04-10 0455 PPP 17901 NW 5TH STREET, PEMBROKE PINES, FL, 33029-2801
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25000
Loan Approval Amount (current) 25000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PEMBROKE PINES, BROWARD, FL, 33029-2801
Project Congressional District FL-25
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 25178.47
Forgiveness Paid Date 2020-12-30
8113688303 2021-01-29 0455 PPS 17901 NW 5th St Ste 106, Pembroke Pines, FL, 33029-2810
Loan Status Date 2022-04-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25000
Loan Approval Amount (current) 25000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Pembroke Pines, BROWARD, FL, 33029-2810
Project Congressional District FL-25
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 25273.97
Forgiveness Paid Date 2022-03-16

Date of last update: 02 Apr 2025

Sources: Florida Department of State