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KIDSVILLE PEDIATRICS I, P.A. - Florida Company Profile

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Company Details

Entity Name: KIDSVILLE PEDIATRICS I, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Jan 1999 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Jul 2011 (14 years ago)
Document Number: P99000001057
FEI/EIN Number 593551592
Mail Address: P.O. BOX 452223, KISSIMMEE, FL, 34745
Address: 2201 NORTH BLVD. WEST, DAVENPORT, FL, 33837
ZIP code: 33837
City: Davenport
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GONZALEZ FRANCELIS IDr. Chief Executive Officer PO BOX 452223, KISSIMMEE, FL, 34745
PANTOJA VICTOR MJr. President P.O. BOX 452223, KISSIMMEE, FL, 34745
PANTOJA VICTOR MJr. Agent 2201 North Blvd West, Devenport, FL, 33837

National Provider Identifier

NPI Number:
1780658294
Certification Date:
2025-01-22

Authorized Person:

Name:
MR. VICTOR M. PANTOJA JR.
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
8634199547

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-01-27 2201 North Blvd West, Devenport, FL 33837 -
REGISTERED AGENT NAME CHANGED 2013-03-03 PANTOJA, VICTOR M., Jr. -
AMENDMENT 2011-07-22 - -
CHANGE OF MAILING ADDRESS 2008-03-17 2201 NORTH BLVD. WEST, DAVENPORT, FL 33837 -
NAME CHANGE AMENDMENT 2004-04-05 KIDSVILLE PEDIATRICS I, P.A. -
CHANGE OF PRINCIPAL ADDRESS 2002-02-01 2201 NORTH BLVD. WEST, DAVENPORT, FL 33837 -

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-02-21

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
158000.76
Total Face Value Of Loan:
158000.76
Date:
2020-05-26
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:
25252.50
Total Face Value Of Loan:
158000.00
Date:
2020-05-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
30000.00
Total Face Value Of Loan:
30000.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
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:
132747.50
Total Face Value Of Loan:
158000.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$158,000.76
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$158,000.76
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$159,216.49
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $157,996.76
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$132,747.5
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$158,000
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$133,570.99
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $158,000

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Date of last update: 03 Aug 2025

Sources: Florida Department of State