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NASSER MOUKADDEM, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: NASSER MOUKADDEM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NASSER MOUKADDEM, M.D., P.A. 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 28 Jul 1999 (26 years ago)
Date of dissolution: 17 Feb 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Feb 2024 (a year ago)
Document Number: P99000067159
FEI/EIN Number 593590539

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

Address: 4226 CENTRAL AVENUE, ST. PETERSBURG, FL, 33711
Mail Address: 4226 CENTRAL AVENUE, ST. PETERSBURG, FL, 33711
ZIP code: 33711
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOUKADDEM NASSER M Director 4226 CENTRAL AVENUE, ST. PETERSBURG, FL, 33711
BARKOV MARINA M Director 4226 CENTRAL AVE, ST. PETERSBURG, FL, 33711
ARSENAULT KENNETH G Agent 10225 ULMERTON ROAD, LARGO, FL, 33771

National Provider Identifier

NPI Number:
1831220235

Authorized Person:

Name:
NASSER MOUKADDEM
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7273280975

Form 5500 Series

Employer Identification Number (EIN):
593590539
Plan Year:
2022
Number Of Participants:
8
Sponsors DBA Name:
MY CENTRAL PRIMARY CARE
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors DBA Name:
MY CENTRAL PRIMARY CARE
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors DBA Name:
MY CENTRAL PRIMARY CARE
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-02-17 - -
NAME CHANGE AMENDMENT 2007-08-21 NASSER MOUKADDEM, M.D., P.A. -
CHANGE OF PRINCIPAL ADDRESS 2004-01-25 4226 CENTRAL AVENUE, ST. PETERSBURG, FL 33711 -
CHANGE OF MAILING ADDRESS 2004-01-25 4226 CENTRAL AVENUE, ST. PETERSBURG, FL 33711 -
REGISTERED AGENT ADDRESS CHANGED 2004-01-25 10225 ULMERTON ROAD, SUITE 2, LARGO, FL 33771 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-02-17
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-12

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
95387.00
Total Face Value Of Loan:
95387.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$95,387
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$95,387
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$95,952.62
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $95,387

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Date of last update: 03 Jul 2025

Sources: Florida Department of State