Search icon

OKALOOSA CARDIOLOGY, P.A. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: OKALOOSA CARDIOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Nov 1991 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Nov 2002 (23 years ago)
Document Number: S92998
FEI/EIN Number 593093454
Address: 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL, 32539, US
Mail Address: 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL, 32539, US
ZIP code: 32539
City: Crestview
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Al-Dehneh Anthony SDO President 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL, 32539
YOUSSEF GEORGE AMD Vice President 129 EAST REDSTONE AVENUE, CRESTVIEW, FL, 32539
Al-Dehneh Anthony SDO Agent 129 EAST REDSTONE AVENUE, CRESTVIEW, FL, 32539
Henien Shady SMD Secretary 129 EAST REDSTONE AVENUE, CRESTVIEW, FL, 32539

National Provider Identifier

NPI Number:
1144270240

Authorized Person:

Name:
DONNA M GIBSON
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
593093454
Plan Year:
2024
Number Of Participants:
61
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
74
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
67
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
70
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
61
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000077824 OKALOOSA HEART & VASCULAR CENTER ACTIVE 2019-07-18 2029-12-31 - 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL, 32539

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-11 Al-Dehneh, Anthony S, DO -
REGISTERED AGENT ADDRESS CHANGED 2008-10-06 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL 32539 -
CHANGE OF PRINCIPAL ADDRESS 2008-01-29 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL 32539 -
CHANGE OF MAILING ADDRESS 2008-01-29 129 EAST REDSTONE AVENUE, SUITE A, CRESTVIEW, FL 32539 -
REINSTATEMENT 2002-11-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-27

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:
558957.50
Total Face Value Of Loan:
558957.50
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:
558957.50
Total Face Value Of Loan:
558957.50

Paycheck Protection Program

Jobs Reported:
56
Initial Approval Amount:
$558,957.5
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$558,957.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$566,006.58
Servicing Lender:
Cadence Bank
Use of Proceeds:
Payroll: $558,957.5

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State