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MAIN STREET MEDICAL LLC - Florida Company Profile

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Company Details

Entity Name: MAIN STREET MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 May 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Oct 2021 (4 years ago)
Document Number: L17000099285
FEI/EIN Number 824801307
Mail Address: P.O. BOX 17175, TAMPA, FL, 33682, US
Address: 10549 N FLORIDA AVENUE, TAMPA, FL, 33612, US
ZIP code: 33612
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BANJOKO STEPHEN O Chief Financial Officer P. O. BOX 17175, Tampa, FL, 33682
BANJOKO CASEY Chief Operating Officer P. O. BOX 17175, TAMPA, FL, 33682
BANJOKO CASEY Agent 10549 N FLORIDA AVENUE, TAMPA, FL, 33612

National Provider Identifier

NPI Number:
1487079505
Certification Date:
2024-10-03

Authorized Person:

Name:
MR. STEPHEN O BANJOKO
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
No
Selected Taxonomy:
2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8133414004
Fax:
8134406484

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000037508 MAIN STREET MEDICAL CENTERS ACTIVE 2020-04-02 2030-12-31 - P. O. BOX 17175, TAMPA, FL, 33682
G20000037332 MAIN STRET MEDICAL CENTERS ACTIVE 2020-04-01 2025-12-31 - P. O. BOX 17175, TAMPA, FL, 33682
G18000059652 MAIN STREET URGENT CARE EXPIRED 2018-05-16 2023-12-31 - P. O. BOX 17175, TAMPA, FL, 33682

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 10549 N FLORIDA AVENUE, SUITE A, TAMPA, FL 33612 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 10549 N FLORIDA AVENUE, SUITE A, TAMPA, FL 33612 -
REINSTATEMENT 2021-10-11 - -
REGISTERED AGENT NAME CHANGED 2021-10-11 BANJOKO, CASEY -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF MAILING ADDRESS 2018-04-11 10549 N FLORIDA AVENUE, SUITE A, TAMPA, FL 33612 -
LC AMENDMENT AND NAME CHANGE 2018-03-08 MAIN STREET MEDICAL LLC -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-30
REINSTATEMENT 2021-10-11
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-04-11
LC Amendment and Name Change 2018-03-08
Florida Limited Liability 2017-05-04

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
75229.00
Total Face Value Of Loan:
75229.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$75,229
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$75,229
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$76,226.56
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $75,229

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Date of last update: 02 Jul 2025

Sources: Florida Department of State