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FLORIDA FERTILITY INSTITUTE, P.A.

FLORIDA FERTILITY INSTITUTE, P.A. - Florida Company Profile

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Company Details

Entity Name:	FLORIDA FERTILITY INSTITUTE, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	09 Jul 1999 (26 years ago)
Last Event:	AMENDMENT
Event Date Filed:	23 Apr 2018 (7 years ago)
Document Number:	P99000061412
FEI/EIN Number	593585336
Address:	2454 MCMULLEN BOOTH RD, CLEARWATER, FL, 33759, US
Mail Address:	2454 MCMULLEN BOOTH RD, CLEARWATER, FL, 33759, US
ZIP code:	33759
City:	Clearwater
County:	Pinellas
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
SANCHEZ MARK D	Agent	2454 MCMULLEN BOOTH RD, CLEARWATER, FL, 33759
SANCHEZ MARK	President	2454 MCMULLEN BOOTH RD SUITE 601, CLEARWATER, FL, 33759

National Provider Identifier

NPI Number:

1821215120

Link:

View on NPI website

Authorized Person:

Name:

NANCY STEIN

Role:

PRACTICE ADMINISTRATOR

Phone:

7276693403

Taxonomy:

Selected Taxonomy:

207VE0102X - Reproductive Endocrinology Physician

Is Primary:

No

Selected Taxonomy:

207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

Is Primary:

No

Selected Taxonomy:

207VG0400X - Gynecology Physician

Is Primary:

No

Selected Taxonomy:

363LX0001X - Obstetrics & Gynecology Nurse Practitioner

Is Primary:

No

Selected Taxonomy:

363LA2200X - Adult Health Nurse Practitioner

Is Primary:

No

Contacts:

Phone:

+1 727-796-7705

Fax:

7277968764

Form 5500 Series

Employer Identification Number (EIN):

593585336

Plan Year:

2012

Number Of Participants:

31

Sponsors Telephone Number:

7276693403

File:

Plan Year:

2012

Number Of Participants:

33

Sponsors Telephone Number:

7276693403

File:

Plan Year:

2011

Number Of Participants:

33

Sponsors Telephone Number:

7276693403

File:

Plan Year:

2010

Number Of Participants:

33

Sponsors Telephone Number:

7276693403

File:

Plan Year:

2009

Number Of Participants:

32

Sponsors Telephone Number:

7276693403

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G14000043693	FERTILE PROMISE	EXPIRED	2014-05-02	2024-12-31	-	2454 MCMULLEN BOOTH ROAD, SUITE 601, CLEARWATER, FL, 33759
G14000008577	TUBAL REVERSAL EXPERTS	ACTIVE	2014-01-24	2029-12-31	-	2454 MCMULLEN BOOTH ROAD, SUITE 601, CLEARWATER, FL, 33759
G12000049165	TAMPA BAY LOW T CENTER	EXPIRED	2012-05-29	2017-12-31	-	2454 MCMULLEN BOOTH ROAD, SUITE 601, CLEARWATER, FL, 33759
G02196900473	THE FERTILITY EXPERTS	ACTIVE	2002-07-15	2027-12-31	-	2454 N MCMULLEN BOOTH ROAD, SUITE 601, CLEARWATER, FL, 33759
G02127900107	FLORIDA FERTILITY INSTITUTE	ACTIVE	2002-05-07	2027-12-31	-	2454 N MCMULLEN BOOTH ROAD, STE 601, CLEARWATER, FL, 33759

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2020-07-01	SANCHEZ, MARK D	-
AMENDMENT	2018-04-23	-	-
CHANGE OF PRINCIPAL ADDRESS	2016-03-08	2454 MCMULLEN BOOTH RD, SUITE 601, CLEARWATER, FL 33759	-
CHANGE OF MAILING ADDRESS	2016-03-08	2454 MCMULLEN BOOTH RD, SUITE 601, CLEARWATER, FL 33759	-
REGISTERED AGENT ADDRESS CHANGED	2016-03-08	2454 MCMULLEN BOOTH RD, SUITE 601, CLEARWATER, FL 33759	-
NAME CHANGE AMENDMENT	2007-07-12	FLORIDA FERTILITY INSTITUTE, P.A.	-

Debts

Document Number	Status	Case Number	Name of Court	Date of Entry	Expiration Date	Amount Due	Plaintiff
J04000128629	LAPSED	04-2288-CO	PINELLAS COUNTY COURT	2004-11-16	2009-11-19	$18,709.57	MICHELLE MARION NASH, P.O. BOX 147, OLDSMAR, FLORIDA 34677

Documents

Name	Date
ANNUAL REPORT	2025-01-13
ANNUAL REPORT	2024-02-12
ANNUAL REPORT	2023-01-20
ANNUAL REPORT	2022-01-24
ANNUAL REPORT	2021-02-05
AMENDED ANNUAL REPORT	2020-07-01
ANNUAL REPORT	2020-01-16
ANNUAL REPORT	2019-02-11
Amendment	2018-04-23
ANNUAL REPORT	2018-01-16

USAspending Awards / Financial Assistance

Date:

2020-04-11

Link:

View on USAspending

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:

286047.00

Total Face Value Of Loan:

286047.00

Paycheck Protection Program

Jobs Reported:

21

Initial Approval Amount:

$286,047

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$286,047

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$288,224.14

Servicing Lender:

Valley National Bank

Use of Proceeds:

Payroll: $286,047

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Date of last update: 01 Aug 2025

Sources: Florida Department of State