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JACKY BLANK MD. PA. - Florida Company Profile

Company Details

Entity Name: JACKY BLANK MD. PA.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JACKY BLANK MD. PA. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Oct 2009 (15 years ago)
Document Number: P09000089008
FEI/EIN Number 320293775

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 21150 POINT PLACE, APT. 1203, AVENTURA, FL, 33180, US
Mail Address: 21150 POINT PLACE, SUITE 1203, AVENTURA, FL, 33180, US
ZIP code: 33180
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285961227 2009-11-12 2009-11-12 20814 W DIXIE HWY, AVENTURA, FL, 331801147, US 20814 W DIXIE HWY, AVENTURA, FL, 331801147, US

Contacts

Phone +1 305-933-8433

Authorized person

Name DR. JACKY BRUCE BLANK
Role DIRECTOR
Phone 3059338433

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number ME 101336
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
BLANK JACKY President 21150 POINT PLACE SUITE 1203, AVENTURA, FL, 33180
BLANK JACKY Agent 21150 POINT PLACE, AVENTURA, FL, 33180

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-01-12 21150 POINT PLACE, APT. 1203, AVENTURA, FL 33180 -
CHANGE OF MAILING ADDRESS 2011-01-12 21150 POINT PLACE, APT. 1203, AVENTURA, FL 33180 -
REGISTERED AGENT ADDRESS CHANGED 2011-01-12 21150 POINT PLACE, SUITE 1203, AVENTURA, FL 33180 -

Documents

Name Date
ANNUAL REPORT 2025-02-14
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-06-14
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-02-23
ANNUAL REPORT 2016-03-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1179377407 2020-05-04 0455 PPP 21150 NE 38th Ave Apt 1203, MIAMI, FL, 33180-4037
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 22500
Loan Approval Amount (current) 22500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 378617
Servicing Lender Name HSBC Bank USA, National Association
Servicing Lender Address 1800 Tysons Blvd, Ste 50 Tysons II, MCLEAN, VA, 22102-4267
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address MIAMI, MIAMI-DADE, FL, 33180-4037
Project Congressional District FL-24
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 378617
Originating Lender Name HSBC Bank USA, National Association
Originating Lender Address MCLEAN, VA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 22809.38
Forgiveness Paid Date 2021-09-27

Date of last update: 03 Mar 2025

Sources: Florida Department of State