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FAMILY HEALTH CENTER AT PORT ST JOHN LLC - Florida Company Profile

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Company Details

Entity Name: FAMILY HEALTH CENTER AT PORT ST JOHN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FAMILY HEALTH CENTER AT PORT ST JOHN LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 05 Nov 2007 (18 years ago)
Document Number: L07000111602
FEI/EIN Number 261350798

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

Address: 3740 CURTIS BLVD, SUITE 108, COCOA, FL, 32927
Mail Address: 3740 CURTIS BLVD, SUITE 108, COCOA, FL, 32927
ZIP code: 32927
City: Cocoa
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLACK JANIS G Managing Member 5126 ROYAL PADDOCK WAY, MERRITT ISLAND, FL, 32953
BLACK JOHN T Managing Member 5126 ROYAL PADDOCK WAY, MERRITT ISLAND, FL, 32953
BLACK JANIS G Agent 5126 ROYAL PADDOCK WAY, MERRIT ISLAND, FL, 32953

National Provider Identifier

NPI Number:
1851575377

Authorized Person:

Name:
DR. JANIS G BLACK
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3216335566

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000067986 FAMILY HEALTH CENTER AT CHICKASAW TRAIL EXPIRED 2011-07-06 2016-12-31 - 540 S CHICKASAW TRAIL, ORLANDO, FL, 32825

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-05-11
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-07-03
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-23

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
109900.00
Total Face Value Of Loan:
109900.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$109,900
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$109,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$110,824.99
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $109,900

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Date of last update: 01 Jul 2025

Sources: Florida Department of State