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HANA J. CLEMENTS, MD, LLC - Florida Company Profile

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Company Details

Entity Name: HANA J. CLEMENTS, MD, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 09 Nov 2009 (16 years ago)
Document Number: M09000004419
FEI/EIN Number 020753404
Address: 1629 Lakeland Hills Boulevard, LAKELAND, FL, 33805, US
Mail Address: P.O. BOX 5746, LAKELAND, FL, 33807, US
ZIP code: 33805
City: Lakeland
County: Polk
Place of Formation: CONNECTICUT

Links between entities

Type:
Headquarter of
Company Number:
0836902
State:
CONNECTICUT

Key Officers & Management

Name Role Address
CLEMENTS HANA JMD Managing Member 1629 Lakeland Hills Boulevard, LAKELAND, FL, 33805
CLEMENTS HANA JMD Agent 1629 Lakeland Hills Boulevard, LAKELAND, FL, 33805

National Provider Identifier

NPI Number:
1861665184
Certification Date:
2025-06-12

Authorized Person:

Name:
DR. HANA J. CLEMENTS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8636860160

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-08 1629 Lakeland Hills Boulevard, LAKELAND, FL 33805 -
REGISTERED AGENT ADDRESS CHANGED 2015-01-08 1629 Lakeland Hills Boulevard, LAKELAND, FL 33805 -
REGISTERED AGENT NAME CHANGED 2013-01-25 CLEMENTS, HANA J, MD -
CHANGE OF MAILING ADDRESS 2011-01-05 1629 Lakeland Hills Boulevard, LAKELAND, FL 33805 -

Documents

Name Date
ANNUAL REPORT 2025-02-21
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
10267.00
Total Face Value Of Loan:
10267.00
Date:
2020-05-03
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:
10267.00
Total Face Value Of Loan:
10267.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$10,267
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$10,267
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$10,363.76
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $10,267

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Date of last update: 03 Aug 2025

Sources: Florida Department of State