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NORTH MIAMI MEDICAL, INC.

NORTH MIAMI MEDICAL, INC. - Florida Company Profile

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Company Details

Entity Name:	NORTH MIAMI MEDICAL, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	12 Aug 2005 (20 years ago)
Date of dissolution:	14 Sep 2007 (18 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	14 Sep 2007 (18 years ago)
Document Number:	P05000112297
FEI/EIN Number	APPLIED FOR
Address:	823 NE 125TH STREET, NORTH MIAMI, FL, 33161
Mail Address:	823 NE 125TH STREET, NORTH MIAMI, FL, 33161
ZIP code:	33161
City:	Miami
County:	Miami-Dade
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
METELLUS JEAN P	President	2065 SW 166TH AVENUE, MIRAMAR, FL, 33027
METELLUS JEAN P	Vice President	2065 SW 166TH AVENUE, MIRAMAR, FL, 33027
METELLUS JEAN P	Agent	2065 SW 166TH AVENUE, MIRAMAR, FL, 33027

National Provider Identifier

NPI Number:

1821293127

Certification Date:

2022-12-19

Link:

View on NPI website

Authorized Person:

Name:

JEAN PAUL METELLUS

Role:

OWNER

Phone:

3058957840

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 305-895-7840

Fax:

3058959557

Form 5500 Series

Employer Identification Number (EIN):

141897948

Plan Year:

2024

Number Of Participants:

6

Sponsors Telephone Number:

3058957840

File:

Plan Year:

2023

Number Of Participants:

6

Sponsors Telephone Number:

3058957840

File:

Plan Year:

2022

Number Of Participants:

8

Sponsors Telephone Number:

3058957840

File:

Plan Year:

2020

Number Of Participants:

6

Sponsors Telephone Number:

3052194121

File:

Plan Year:

2019

Number Of Participants:

6

Sponsors Telephone Number:

3052194121

File:

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2007-09-14	-	-

Documents

Name	Date
ANNUAL REPORT	2006-05-09
Domestic Profit	2005-08-12

Paycheck Protection Program

Jobs Reported:

15

Initial Approval Amount:

$233,000

Date Approved:

2021-04-26

Loan Status:

Charged Off

SBA Guaranty Percentage:

100

Current Approval Amount:

$233,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Servicing Lender:

Synovus Bank

Use of Proceeds:

Payroll: $232,997
Utilities: $1

Jobs Reported:

9

Initial Approval Amount:

$41,100

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$41,100

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$41,852.36

Servicing Lender:

PNC Bank, National Association

Use of Proceeds:

Payroll: $41,100

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Date of last update: 02 Jul 2025

Sources: Florida Department of State