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FATIMA MEDICAL GROUP LLC - Florida Company Profile

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Company Details

Entity Name: FATIMA MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Mar 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Nov 2018 (7 years ago)
Document Number: L11000025153
FEI/EIN Number 275276950
Address: 4824 10th Ave N, Greenacres, FL, 33463, US
Mail Address: 8465 Vaulting Dr, Lake Worth, FL, 33467, US
ZIP code: 33463
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MICHEL IMMACULA M.D. Manager 4824 10th Ave N, Greenacres, FL, 33463
MICHEL IMMACULA M Agent 4824 10th Ave N, Greenacres, FL, 33463

National Provider Identifier

NPI Number:
1972896116

Authorized Person:

Name:
JEAN-LUC MICHEL
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5619682920

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000076724 UNLIMITED MOBILE EMC SERVICE EXPIRED 2019-07-15 2024-12-31 - 8130 NW 20TH CT, SUNRISE, FL, 33322
G17000006928 FATIMA MEDICAL AND REHABILITATION CENTER EXPIRED 2017-01-19 2022-12-31 - 990 SOUTH CONGRESS AVE, FORT LAUDERDALE, FL, 33319
G16000076395 FATIMA MEDICAL RESEARCH EXPIRED 2016-07-30 2021-12-31 - 1800 FOREST HILL BLVD, STE B-9, WEST PALM BEACH, FL, 33406
G11000037006 FATIMA MEDICAL CENTER EXPIRED 2011-04-15 2016-12-31 - 1800 FOREST HILL BLVD., SUITE B-9, WEST PALM BEACH, FL, 33406

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-24 4824 10th Ave N, Greenacres, FL 33463 -
CHANGE OF MAILING ADDRESS 2024-01-24 4824 10th Ave N, Greenacres, FL 33463 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-24 4824 10th Ave N, Greenacres, FL 33463 -
LC AMENDMENT 2018-11-16 - -
LC AMENDMENT 2013-09-27 - -
LC AMENDMENT 2011-09-12 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J20000185989 ACTIVE 50-2019-CC-000601-XXXX-MB PALM BEACH COUNTY COURT 2019-05-13 2025-03-27 $6,966.78 GREER LABORATORIES INC., 639 NUWAY CIRCLE, LENOIR, NC 28645
J17000474926 TERMINATED 1000000752616 PALM BEACH 2017-08-02 2027-08-16 $ 1,272.67 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J16000393037 TERMINATED 1000000714355 PALM BEACH 2016-06-01 2026-06-22 $ 620.95 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-25
AMENDED ANNUAL REPORT 2022-12-16
AMENDED ANNUAL REPORT 2022-10-12
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-04-24
LC Amendment 2018-11-16
ANNUAL REPORT 2018-03-25

USAspending Awards / Financial Assistance

Date:
2021-03-20
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:
148000.00
Total Face Value Of Loan:
148000.00
Date:
2020-07-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
100400.00
Total Face Value Of Loan:
100400.00
Date:
2020-06-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-19
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:
438435.00
Total Face Value Of Loan:
438435.00

Paycheck Protection Program

Jobs Reported:
18
Initial Approval Amount:
$148,000
Date Approved:
2021-03-20
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$148,000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $148,000
Jobs Reported:
24
Initial Approval Amount:
$438,435
Date Approved:
2020-06-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$438,435
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$444,219.91
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $438,435

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Date of last update: 01 Aug 2025

Sources: Florida Department of State