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  5. JACK BANDEL M.D., P.A.

JACK BANDEL M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JACK BANDEL M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Sep 2007 (18 years ago)
Document Number: P07000098115
FEI/EIN Number 260837882
Address: 20818 West Dixie Hwy, MIAMI, FL, 33180, US
Mail Address: 20818 West Dixie Hwy, MIAMI, FL, 33180, US
ZIP code: 33180
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BANDEL JACK Director 20818 West Dixie Hwy, MIAMI, FL, 33180
BANDEL JACK Agent 20818 West Dixie Hwy, MIAMI, FL, 33180
BANDEL JACK President 20818 West Dixie Hwy, MIAMI, FL, 33180

National Provider Identifier

NPI Number:
1982899472
Link:
View on NPI website

Authorized Person:

Name:
DR. JACK WILLIAM BANDEL
Role:
PRESIDENT
Phone:
3059333035

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 305-933-3035
Fax:
3059333035

Form 5500 Series

Employer Identification Number (EIN):
260837882
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
7862826063
File:
View File
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
7862826063
File:
View File
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
7862826063
File:
View File
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
7862826063
File:
View File
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
7862826063
File:
View File

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-01-14 20818 West Dixie Hwy, MIAMI, FL 33180 -
CHANGE OF PRINCIPAL ADDRESS 2020-11-03 20818 West Dixie Hwy, MIAMI, FL 33180 -
CHANGE OF MAILING ADDRESS 2013-01-26 20818 West Dixie Hwy, MIAMI, FL 33180 -

Documents

Name Date
ANNUAL REPORT 2025-02-24
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-18

USAspending Awards / Financial Assistance

Date:
2020-06-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-15
Link:
View on USAspending
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:
53500.00
Total Face Value Of Loan:
53500.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$53,500
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,500
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$54,082.56
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $53,500
Jobs Reported:
2
Initial Approval Amount:
$34,300
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,300
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$34,526.76
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $34,297
Utilities: $1

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Date of last update: 02 Jul 2025

Sources: Florida Department of State

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