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LAKE WORTH PHYSICAL MEDICINE INC - Florida Company Profile

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Company Details

Entity Name: LAKE WORTH PHYSICAL MEDICINE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 May 2012 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 01 Mar 2017 (8 years ago)
Document Number: P12000040959
FEI/EIN Number 45-5200597
Address: 3044 SOUTH MILITARY TRAIL,, LAKE WORTH, FL, 33463, US
Mail Address: P.O. BOX 16836, WEST PALM BEACH, FL, 33416, US
ZIP code: 33463
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRAND JESSE President P.O. BOX 16836, WEST PALM BEACH, FL, 33416
SANFORD R TOPKIN ESQ Agent 1166 W NEWPORT CENTER DR #309, DEERFIELD BEACH, FL, 33442

National Provider Identifier

NPI Number:
1043579618

Authorized Person:

Name:
DR. JONATHAN GRAND
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
5618685702

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000041984 PALM BEACH PHYSICAL MEDICINE ACTIVE 2012-05-03 2027-12-31 - 3044-D SOUTH MILITARY TRAIL, LAKE WORTH, FL, 33463

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-11-28 3044 SOUTH MILITARY TRAIL,, SUITE D, LAKE WORTH, FL 33463 -
AMENDMENT 2017-03-01 - -
AMENDMENT 2016-12-12 - -
AMENDMENT 2016-11-02 - -
REGISTERED AGENT NAME CHANGED 2016-11-02 SANFORD R TOPKIN ESQ -
REGISTERED AGENT ADDRESS CHANGED 2016-11-02 1166 W NEWPORT CENTER DR #309, DEERFIELD BEACH, FL 33442 -

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-04-03
Amendment 2017-03-01
Amendment 2016-12-12

USAspending Awards / Financial Assistance

Date:
2020-07-28
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:
2020-07-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-03
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:
87000.00
Total Face Value Of Loan:
87000.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$87,000
Date Approved:
2020-05-01
Loan Status:
Exemption 4
SBA Guaranty Percentage:
100
Current Approval Amount:
$87,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$45,128.22
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $87,000

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Date of last update: 03 Aug 2025

Sources: Florida Department of State