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ENGLEWOOD PEDIATRICS, P.A. - Florida Company Profile

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Company Details

Entity Name: ENGLEWOOD PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jul 1991 (34 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 04 May 2010 (15 years ago)
Document Number: S65019
FEI/EIN Number 650270792
Mail Address: 7960 SW 60TH AVE, OCALA, FL, 34476, US
Address: 900 PINE STREET SUITE 216-217, ENGELWOOD, FL, 34223, US
ZIP code: 34223
City: Englewood
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Eunus Shahab Dr. President 7960 SW 60TH AVE, OCALA, FL, 34476
Rogozina Svetlana Dr. Vice President 7960 SW 60TH AVE, OCALA, FL, 34476
Eunus Shahab Dr. Agent 7960 SW 60TH AVE, OCALA, FL, 34476

National Provider Identifier

NPI Number:
1356470744

Authorized Person:

Name:
ELLA MARIE GUASTAVINO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
9414749049

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-03 900 PINE STREET SUITE 216-217, ENGELWOOD, FL 34223 -
REGISTERED AGENT NAME CHANGED 2022-01-03 Eunus, Shahab, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2022-01-03 7960 SW 60TH AVE, OCALA, FL 34476 -
CANCEL ADM DISS/REV 2010-05-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 1997-02-04 900 PINE STREET SUITE 216-217, ENGELWOOD, FL 34223 -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-03-04
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-07-10
ANNUAL REPORT 2015-01-23

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
45993.00
Total Face Value Of Loan:
45993.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$45,993
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,993
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$36,287.85
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $45,993
Jobs Reported:
3
Initial Approval Amount:
$35,995
Date Approved:
2021-03-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,995
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$36,234.64
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $35,990
Utilities: $1

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Date of last update: 03 Aug 2025

Sources: Florida Department of State