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CARLOS L. DOMINGUEZ, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: CARLOS L. DOMINGUEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Aug 1998 (27 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Jul 2004 (21 years ago)
Document Number: P98000073129
FEI/EIN Number 59-3527973
Mail Address: 4876 RED BRICK RUN, SANFORD, FL, 32771, US
Address: 1857 PROVIDENCE BLVD, DELTONA, FL, 32725, US
ZIP code: 32725
City: Deltona
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOMINGUEZ CARLOS LDR Director 4876 RED BRICK RUN, SANFORD, FL, 32771
DOMINGUEZ CARLOS LDr. Agent 4876 RED BRICK RUN, SANFORD, FL, 32771

National Provider Identifier

NPI Number:
1730452970

Authorized Person:

Name:
DR. CARLOS L DOMINGUEZ
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3869514809

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-30 1857 PROVIDENCE BLVD, DELTONA, FL 32725 -
CHANGE OF MAILING ADDRESS 2024-01-30 1857 PROVIDENCE BLVD, DELTONA, FL 32725 -
REGISTERED AGENT NAME CHANGED 2024-01-30 DOMINGUEZ, CARLOS LORENZO, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2024-01-30 4876 RED BRICK RUN, SANFORD, FL 32771 -
REINSTATEMENT 2004-07-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-22

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
43251.00
Total Face Value Of Loan:
43251.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$43,251
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$43,251
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$43,605.3
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $43,251

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Date of last update: 03 Aug 2025

Sources: Florida Department of State