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JACKY BLANK MD. PA. - Florida Company Profile

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Company Details

Entity Name: JACKY BLANK MD. PA.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Oct 2009 (16 years ago)
Document Number: P09000089008
FEI/EIN Number 320293775
Address: 21150 POINT PLACE, APT. 1203, AVENTURA, FL, 33180, US
Mail Address: 21150 POINT PLACE, SUITE 1203, AVENTURA, FL, 33180, US
ZIP code: 33180
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

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

National Provider Identifier

NPI Number:
1285961227

Authorized Person:

Name:
DR. JACKY BRUCE BLANK
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

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

USAspending Awards / Financial Assistance

Date:
2020-05-04
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:
22500.00
Total Face Value Of Loan:
22500.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$22,500
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$22,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$22,809.38
Servicing Lender:
HSBC Bank USA, National Association
Use of Proceeds:
Payroll: $22,500

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Date of last update: 03 Aug 2025

Sources: Florida Department of State