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MICHAEL A. BLUM, D.O., P.A. - Florida Company Profile

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Company Details

Entity Name: MICHAEL A. BLUM, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MICHAEL A. BLUM, D.O., P.A. 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: 17 Mar 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Nov 2012 (13 years ago)
Document Number: P11000026974
FEI/EIN Number 450703775

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

Address: 579 NW Lake Whitney Place, Port Saint Lucie, FL, 34986, US
Mail Address: 579 NW Lake Whitney Place, Port Saint Lucie, FL, 34986, US
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLUM MICHAEL A Agent 579 NW Lake Whitney Place, Port Saint Lucie, FL, 34986
BLUM MICHAEL A President 579 NW Lake Whitney Place, Port Saint Lucie, FL, 34986
Henke Jessica L Auth 579 NW Lake Whitney Place, Port Saint Lucie, FL, 34986

National Provider Identifier

NPI Number:
1770876120
Certification Date:
2022-03-15

Authorized Person:

Name:
DR. MICHAEL ALLAN BLUM
Role:
PRESIDENT AND CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
7722490137

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-13 579 NW Lake Whitney Place, Suite 101, Port Saint Lucie, FL 34986 -
CHANGE OF MAILING ADDRESS 2018-01-13 579 NW Lake Whitney Place, Suite 101, Port Saint Lucie, FL 34986 -
REGISTERED AGENT ADDRESS CHANGED 2018-01-13 579 NW Lake Whitney Place, Suite 101, Port Saint Lucie, FL 34986 -
REINSTATEMENT 2012-11-27 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-01-13
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-04-15

USAspending Awards / Financial Assistance

Date:
2021-02-13
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:
141513.00
Total Face Value Of Loan:
141513.00

Paycheck Protection Program

Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
141513
Current Approval Amount:
141513
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
142307.05
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
147000
Current Approval Amount:
147000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
147775.83

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Date of last update: 02 Jul 2025

Sources: Florida Department of State