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COLUMBIA MEDICAL GROUP LLC - Florida Company Profile

Company Details

Entity Name: COLUMBIA MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COLUMBIA MEDICAL GROUP 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: 24 Sep 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Sep 2023 (2 years ago)
Document Number: L12000121807
FEI/EIN Number 46-1044940

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

Address: 3907 S. Jog Road, Green Acres, FL, 33467, US
Mail Address: 2240 W WOOLBRIGHT RD, SUITE 317, BOYNTON BEACH, FL, 33426, US
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306255237 2014-08-05 2014-08-05 3907 S JOG RD, GREENACRES, FL, 334671590, US 3907 S JOG RD, GREENACRES, FL, 334671590, US

Contacts

Phone +1 561-432-3455

Authorized person

Name RAMON VOILS
Role ADMINISTRATIVE OFFICER
Phone 5614323455

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number ARNP9310077
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
PALADIN INC Manager -
GIRASOL LLC Manager -
VAINA, LLC Manager -
LUCIBELLA RICHARD J Agent 2240 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 33426

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000101328 COLUMBIA MEDICAL CENTERS EXPIRED 2012-10-17 2017-12-31 - 2240 W. WOOLBRIGHT RD, SUITE 317, BOYNTON BEACH, FL, 33426
G12000099982 BARCLAY MEDIAL EXPIRED 2012-10-12 2017-12-31 - 2240 W. WOOLBRIGHT RD SUITE 317, BOYNTON BEACH, FL, 33426

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2015-01-12 3907 S. Jog Road, Green Acres, FL 33467 -
LC AMENDMENT 2012-10-08 - -
CHANGE OF MAILING ADDRESS 2012-10-08 3907 S. Jog Road, Green Acres, FL 33467 -
REGISTERED AGENT NAME CHANGED 2012-10-08 LUCIBELLA, RICHARD J -
REGISTERED AGENT ADDRESS CHANGED 2012-10-08 2240 W WOOLBRIGHT RD, SUITE 317, BOYNTON BEACH, FL 33426 -

Documents

Name Date
ANNUAL REPORT 2024-02-13
LC Amendment 2023-09-25
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6060327300 2020-04-30 0455 PPP 3907 S. Jog Rd., Lake Worth, FL, 33467
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 121455
Loan Approval Amount (current) 121455
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Lake Worth, PALM BEACH, FL, 33467-0900
Project Congressional District FL-22
Number of Employees 9
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 122487.37
Forgiveness Paid Date 2021-03-11

Date of last update: 02 Apr 2025

Sources: Florida Department of State