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KM FAMILY PHYSICIAN, L.L.C - Florida Company Profile

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Company Details

Entity Name: KM FAMILY PHYSICIAN, L.L.C
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Nov 2011 (14 years ago)
Document Number: L11000126234
FEI/EIN Number 45-3759543
Address: 101 W Kaley St, Orlando, FL, 32806, US
Mail Address: 142 ESTATES CIRCLE, LAKE MARY, FL, 32746, SE
ZIP code: 32806
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MUGUERCIA KARELINA M Managing Member 142 ESTATES CIRCLE, LAKE MARY, FL, 32746
MUGUERCIA KARELINA M Agent 101 W KALEY ST, ORLANDO, FL, 32806

National Provider Identifier

NPI Number:
1356601702

Authorized Person:

Name:
DR. KARELINA MUGUERCIA
Role:
MANAGING MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
4073237618

Form 5500 Series

Employer Identification Number (EIN):
453759543
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-02-09 101 W Kaley St, Orlando, FL 32806 -
REGISTERED AGENT ADDRESS CHANGED 2016-02-09 101 W KALEY ST, ORLANDO, FL 32806 -

Documents

Name Date
ANNUAL REPORT 2025-01-25
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-05
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-09

USAspending Awards / Financial Assistance

Date:
2020-07-18
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:
35594.00
Total Face Value Of Loan:
35594.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$35,594
Date Approved:
2020-07-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,594
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$35,809.51
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $35,594

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Date of last update: 02 Jul 2025

Sources: Florida Department of State