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CALVIN BLOUNT, JR., M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: CALVIN BLOUNT, JR., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jan 1999 (27 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Jan 2004 (22 years ago)
Document Number: P99000009827
FEI/EIN Number 593553504
Address: 4012 Commons Dr. W, Suite 120, Destin, FL, 32541, US
Mail Address: 4012 Commons Dr. W, Suite 120, Destin, FL, 32541, US
ZIP code: 32541
City: Destin
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLOUNT CALVIN LDr. Director 347 AVALON BLVD, MIRAMAR BEACH, FL, 32550
BLOUNT CALVIN LDr. President 347 AVALON BLVD, MIRAMAR BEACH, FL, 32550
- Agent -

National Provider Identifier

NPI Number:
1447245691

Authorized Person:

Name:
DR. CALVIN L BLOUNT JR.
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8508376625

Form 5500 Series

Employer Identification Number (EIN):
593553504
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
13
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-11 HILL COLEMAN LLC -
REGISTERED AGENT ADDRESS CHANGED 2021-03-11 12805 US HWY 98 E, STE B202, INLET BEACH, FL 32461 -
CHANGE OF PRINCIPAL ADDRESS 2020-05-29 4012 Commons Dr. W, Suite 120, Destin, FL 32541 -
CHANGE OF MAILING ADDRESS 2020-05-29 4012 Commons Dr. W, Suite 120, Destin, FL 32541 -
REINSTATEMENT 2004-01-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-05-29
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-30

USAspending Awards / Financial Assistance

Date:
2020-04-08
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:
48570.00
Total Face Value Of Loan:
48570.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$48,570
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$48,570
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,077.29
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $36,427.5
Utilities: $6,071.25
Rent: $6,071.25

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Date of last update: 02 Aug 2025

Sources: Florida Department of State