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DAVID G. SHAW, D.C., P.A. - Florida Company Profile

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Company Details

Entity Name: DAVID G. SHAW, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Oct 1999 (26 years ago)
Last Event: AMENDMENT
Event Date Filed: 13 Sep 2022 (3 years ago)
Document Number: P99000091943
FEI/EIN Number 593609454
Address: 1626 Conway Road, Suite A, Orlando, FL, 32812, US
Mail Address: 15534 Sandfield Loop, Winter Garden, FL, 34787, US
ZIP code: 32812
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAW DAVID GDR. Chief Executive Officer 15534 SANDFIELD LOOP, WINTER GARDEN, FL, 34787
SHAW HEATHER Chief Financial Officer 15534 SANDFIELD LOOP, WINTER GARDEN, FL, 34787
SHAW DAVID Agent 15534 SANDFIELD LOOP, WINTER GARDEN, FL, 34787

National Provider Identifier

NPI Number:
1013659648
Certification Date:
2022-04-13

Authorized Person:

Name:
DR. DAVID G SHAW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
202D00000X - Integrative Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4078510918

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08007900044 PRO CARE HEALTH CENTER ACTIVE 2008-01-03 2028-12-31 - 1626 S. CONWAY ROAD, SUITE A, ORLANDO, FL, 32812

Events

Event Type Filed Date Value Description
AMENDMENT 2022-09-13 - -
REGISTERED AGENT NAME CHANGED 2022-09-13 SHAW, DAVID -
REGISTERED AGENT ADDRESS CHANGED 2022-09-13 15534 SANDFIELD LOOP, WINTER GARDEN, FL 34787 -
CHANGE OF MAILING ADDRESS 2019-02-11 1626 Conway Road, Suite A, Orlando, FL 32812 -
CHANGE OF PRINCIPAL ADDRESS 2013-01-28 1626 Conway Road, Suite A, Orlando, FL 32812 -

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-24
Amendment 2022-09-13
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-13

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$27,807
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,807
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$28,184.87
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $27,806
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State