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MAIN STREET MEDICAL CENTER OF CRESTVIEW, P.A. - Florida Company Profile

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Company Details

Entity Name: MAIN STREET MEDICAL CENTER OF CRESTVIEW, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Feb 2007 (19 years ago)
Document Number: P07000027094
FEI/EIN Number 208417522
Address: 369 N. MAIN STREET, CRESTVIEW, FL, 32536
Mail Address: 369 N. MAIN STREET, CRESTVIEW, FL, 32536
ZIP code: 32536
City: Crestview
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KOLMETZ JOSHUA K President 369 N MAIN ST, CRESTVIEW, FL, 32536
KOLMETZ KRISTY L Vice President 369 N MAIN ST, CRESTVIEW, FL, 32536
KOLMETZ KRISTY L President 369 N MAIN ST, CRESTVIEW, FL, 32536
KOLMETZ KRISTY L Secretary 369 N MAIN ST, CRESTVIEW, FL, 32536
KOLMETZ KRISTY L Treasurer 369 N MAIN ST, CRESTVIEW, FL, 32536
KOLMETZ JOSHUA K Agent 369 N MAIN ST, CRESTVIEW, FL, 32536

National Provider Identifier

NPI Number:
1619181914

Authorized Person:

Name:
JOSHUA K. KOLMETZ
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2008-04-30 369 N MAIN ST, CRESTVIEW, FL 32536 -

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-04-01
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-03-12
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-02-24

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-30
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:
29165.00
Total Face Value Of Loan:
29165.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$29,165
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$29,165
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$29,550.94
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $29,165

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Date of last update: 02 Aug 2025

Sources: Florida Department of State