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NORTH FLORIDA MEDICAL GROUP, L.L.C. - Florida Company Profile

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Company Details

Entity Name: NORTH FLORIDA MEDICAL GROUP, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 May 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Apr 2014 (11 years ago)
Document Number: L10000049422
FEI/EIN Number 272485819
Address: 1702 OHIO AVE, LYNN HAVEN, FL, 32444
Mail Address: 1702 OHIO AVE, LYNN HAVEN, FL, 32444
ZIP code: 32444
City: Lynn Haven
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CEYDELI ADIL Authorized Member 2012 LISENBY AVE. STE. A, PANAMA CITY, FL, 32405
MOURAD HATEM Authorized Member 1714 COUNTRY CLUB DR, LYNN HAVEN, FL, 32444
MOUSSA HATEM Authorized Member 1702 OHIO AVE, LYNN HAVEN, FL, 32444
- Agent -

National Provider Identifier

NPI Number:
1942516935

Authorized Person:

Name:
MRS. KIM D SHINSKY
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
8507472016

Form 5500 Series

Employer Identification Number (EIN):
272485819
Plan Year:
2024
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
29
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-24 North Florida Medical Group -
LC AMENDMENT 2014-04-21 - -
REGISTERED AGENT ADDRESS CHANGED 2012-04-27 1702 OHIO AVE, LYNN HAVEN, FL 32444 -
CHANGE OF PRINCIPAL ADDRESS 2011-04-22 1702 OHIO AVE, LYNN HAVEN, FL 32444 -
CHANGE OF MAILING ADDRESS 2011-04-22 1702 OHIO AVE, LYNN HAVEN, FL 32444 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-02-23
ANNUAL REPORT 2016-01-26

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
251589.92
Total Face Value Of Loan:
251589.92

Paycheck Protection Program

Jobs Reported:
25
Initial Approval Amount:
$251,589.92
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$251,589.92
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$253,385.99
Servicing Lender:
Innovations Financial Credit Union
Use of Proceeds:
Payroll: $251,589.92
Jobs Reported:
19
Initial Approval Amount:
$199,582.62
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$199,582.62
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$200,730.22
Servicing Lender:
Innovations Financial Credit Union
Use of Proceeds:
Payroll: $199,579.62
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State