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  5. AMPUTEE CLINIC, INC

AMPUTEE CLINIC, INC - Florida Company Profile

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Company Details

Entity Name: AMPUTEE CLINIC, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Mar 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Mar 2024 (a year ago)
Document Number: P12000021025
FEI/EIN Number 45-4672954
Address: 7051 CYPRESS TERRACE #108, FORT MYERS, FL, 33907
Mail Address: 7051 CYPRESS TERRACE #108, FORT MYERS, FL, 33907
ZIP code: 33907
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RANDALL MARCUM R President 7051 CYPRESS TERRACE #108, FORT MYERS, FL, 33907
RANDALL MARCUM R Treasurer 7051 CYPRESS TERRACE #108, FORT MYERS, FL, 33907
HEAD WILLIAM CPA Agent 1845 SE 4 AVENUE, FT. LAUDERDALE, FL, 33316

Unique Entity ID

CAGE Code:
5JCU4
UEI Expiration Date:
2020-08-14

Business Information

URL:
http://amputeeclinic.com
Activation Date:
2019-08-15
Initial Registration Date:
2012-07-19

Commercial and government entity program

CAGE number:
5JCU4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-08-16
CAGE Expiration:
2024-08-15

Contact Information

POC:
MARCUM RANDALL
Corporate URL:
http://amputeeclinic.com

National Provider Identifier

NPI Number:
1295730216
Link:
View on NPI website

Authorized Person:

Name:
MR. MARCUM R RANDALL
Role:
PRESIDENT PT CP LPO
Phone:
2394374010

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Phone:
+1 239-437-4010
Fax:
2394374097

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000063627 ALL AMERICAN AMPUTEE EXPIRED 2014-06-20 2019-12-31 - 7051 CYPRESS TERRACE #108, FORT MYERS, FL, 33907

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-03-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2016-04-15 1845 SE 4 AVENUE, FT. LAUDERDALE, FL 33316 -
REGISTERED AGENT NAME CHANGED 2013-04-25 HEAD, WILLIAM, CPA -
CHANGE OF PRINCIPAL ADDRESS 2012-07-19 7051 CYPRESS TERRACE #108, FORT MYERS, FL 33907 -
CHANGE OF MAILING ADDRESS 2012-07-19 7051 CYPRESS TERRACE #108, FORT MYERS, FL 33907 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001490615 TERMINATED 1000000536198 LEE 2013-09-17 2033-10-03 $ 300.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871

Documents

Name Date
REINSTATEMENT 2024-03-05
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-03-22
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-06

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24816P2236
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
25641.22
Base And Exercised Options Value:
25641.22
Base And All Options Value:
25641.22
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-06-14
Description:
PROSTHETIC KNEE
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
VA24816P3066
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
8933.04
Base And Exercised Options Value:
8933.04
Base And All Options Value:
8933.04
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-04-08
Description:
BK SOCKET
Naics Code:
621340: OFFICES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AND AUDIOLOGISTS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
VA24815P1838
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
8424.00
Base And Exercised Options Value:
8424.00
Base And All Options Value:
8424.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-02-23
Description:
BK SOCKET
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2021-03-04
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:
72500.00
Total Face Value Of Loan:
72500.00
Date:
2020-06-12
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:
2020-06-12
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:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$72,500
Date Approved:
2021-03-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$73,421.68
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $72,498
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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