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JUAN CAMILO GOMEZ, M.D., PLLC. - Florida Company Profile

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Company Details

Entity Name: JUAN CAMILO GOMEZ, M.D., PLLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Aug 2018 (7 years ago)
Document Number: L18000194736
FEI/EIN Number 83-1648971
Address: 9008 SW 215TH STREET, MIAMI, FL, 33189, US
Mail Address: 9008 SW 215TH STREET, MIAMI, FL, 33189, US
ZIP code: 33189
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GOMEZ JUAN C Manager 9008 SW 215TH STREET, MIAMI, FL, 33189
- Agent -

National Provider Identifier

NPI Number:
1548814155
Certification Date:
2020-06-22

Authorized Person:

Name:
DR. JUAN CAMILO GOMEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-04-14 4929 SW 74TH CT, MIAMI, FL 33155 -

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-01-15
Florida Limited Liability 2018-08-14

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$20,000
Date Approved:
2020-07-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$20,144.66
Servicing Lender:
Select Bank
Use of Proceeds:
Payroll: $20,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State