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CENTRAL FLORIDA MEDICAL ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: CENTRAL FLORIDA MEDICAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CENTRAL FLORIDA MEDICAL ASSOCIATES, INC. 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 13 Aug 1999 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Sep 2008 (17 years ago)
Document Number: P99000073846
FEI/EIN Number 593590423

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

Mail Address: 235 CADDIE COURT, DEBARY, FL, 32713
Address: 2555 SOUTH VOLUSIA AVENUE, ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528111085 2007-01-19 2015-01-12 2555 S VOLUSIA AVE, ORANGE CITY, FL, 327639135, US 2555 S VOLUSIA AVE, ORANGE CITY, FL, 327639135, US

Contacts

Phone +1 386-774-0401
Fax 3867745783

Authorized person

Name MRS. ILENE BALLENTINE
Role OFFICE MANAGER
Phone 3867740401

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME75141
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE PTAN
Number K2371
State FL

Key Officers & Management

Name Role Address
AHMED SHAZIA Dr. President 235 CADDIE COURT, DEBARY, FL, 32713
AHMED SYED-BILAL Dr. Manager 235 CADDIE COURT, DEBARY, FL, 32713
AHMED SYED-BILAL Dr. Agent 235 CADDIE COURT, DEBARY, FL, 32713

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-03-17 2555 SOUTH VOLUSIA AVENUE, ORANGE CITY, FL 32763 -
REGISTERED AGENT NAME CHANGED 2015-03-17 AHMED, SYED-BILAL, Dr. -
REINSTATEMENT 2008-09-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
CHANGE OF MAILING ADDRESS 2000-04-29 2555 SOUTH VOLUSIA AVENUE, ORANGE CITY, FL 32763 -
REGISTERED AGENT ADDRESS CHANGED 2000-04-29 235 CADDIE COURT, DEBARY, FL 32713 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-09-14
ANNUAL REPORT 2021-09-16
ANNUAL REPORT 2020-07-15
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-23
ANNUAL REPORT 2017-08-31
ANNUAL REPORT 2016-05-01
ANNUAL REPORT 2015-03-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7227957407 2020-05-16 0491 PPP 2555 S.Volusia Ave, Orange City, FL, 32763
Loan Status Date 2021-11-20
Loan Status Charged Off
Loan Maturity in Months 1
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 325535
Loan Approval Amount (current) 325535
Undisbursed Amount 0
Franchise Name -
Lender Location ID 593324
Servicing Lender Name Fed � Kabbage
Servicing Lender Address 925B Peachtree Street NE, Atlanta, GA, 30309
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orange City, VOLUSIA, FL, 32763-0001
Project Congressional District FL-07
Number of Employees 31
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 529113
Originating Lender Name Kabbage, Inc.
Originating Lender Address Atlanta, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount -
Forgiveness Paid Date -

Date of last update: 02 Apr 2025

Sources: Florida Department of State