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FLORIDIAN MEDICAL GROUP, INC. - Florida Company Profile

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Company Details

Entity Name: FLORIDIAN MEDICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Jul 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Jan 2020 (6 years ago)
Document Number: P13000059160
FEI/EIN Number 46-3520357
Address: 172 E Highland Avenue, Clermont, FL, 34711, US
Mail Address: 172 E Highland Avenue, Clermont, FL, 34711, US
ZIP code: 34711
City: Clermont
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FRASURE MICHAEL Vice President 172 E Highland Avenue, Clermont, FL, 34711
FRASURE YINA President 172 E Highland Avenue, Clermont, FL, 34711
FRASURE YINA Agent 172 E Highland Avenue, Clermont, FL, 34711

National Provider Identifier

NPI Number:
1568903482
Certification Date:
2023-07-20

Authorized Person:

Name:
MRS. YINA FRASURE
Role:
OFFICE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
4075888626

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000048600 FMG DERMATOLOGY ACTIVE 2023-04-17 2028-12-31 - 172 E HIGHLAND AVENUE, CLERMONT, FL, 34711
G22000081295 POST CRASH CARE ACTIVE 2022-07-08 2027-12-31 - 172 E HIGHLAND AVENUE, CLERMONT, FL, 34711
G21000104969 FLORIDA PERSONAL INJURY CENTER ACTIVE 2021-08-12 2026-12-31 - 804 EMMETT STREET, KISSIMMEE, FL, 34741
G20000101588 360 CONTOUR MED SPA ACTIVE 2020-08-10 2025-12-31 - 172 E HIGHLAND AVE, CLERMONT, FL, 34711
G20000070473 MONISSIMA MED SPA ACTIVE 2020-06-22 2025-12-31 - 804 EMMETT STREET, KISSIMMEE, FL, 34741
G17000080941 PHYSICIANS BACK & NECK CENTER ORLANDO EXPIRED 2017-07-28 2022-12-31 - 804 EMMETT STREET, KISSIMMEE, FL, 34711
G17000074231 FFLORIDIAN MEDICAL GROUP EXPIRED 2017-07-10 2022-12-31 - 804 EMMETT STREET, KISSIMMEE, FL, 34741
G13000088456 LAVANNY REJUVENATION CENTER EXPIRED 2013-09-06 2018-12-31 - 1521 COROLLA CT, KISSIMMEE, FL, 34747
G13000088348 LAVANNY REJUVENATION CENTER EXPIRED 2013-09-06 2018-12-31 - 410 CELEBRATION PLACE, STE #203, CELEBRATION, FL, 34747

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-26 172 E Highland Avenue, Clermont, FL 34711 -
CHANGE OF PRINCIPAL ADDRESS 2022-01-26 172 E Highland Avenue, Clermont, FL 34711 -
CHANGE OF MAILING ADDRESS 2022-01-26 172 E Highland Avenue, Clermont, FL 34711 -
AMENDMENT 2020-01-14 - -
REGISTERED AGENT NAME CHANGED 2019-02-04 FRASURE, YINA -
AMENDMENT 2013-11-15 - -
AMENDMENT 2013-09-13 - -
AMENDMENT 2013-09-06 - -

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-24
Amendment 2020-01-14
ANNUAL REPORT 2019-02-04
AMENDED ANNUAL REPORT 2018-07-11
ANNUAL REPORT 2018-04-02
AMENDED ANNUAL REPORT 2017-04-18

USAspending Awards / Financial Assistance

Date:
2020-06-03
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:
11472.00
Total Face Value Of Loan:
11472.00
Date:
2020-04-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
15000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$11,472
Date Approved:
2020-06-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,472
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$11,609.98
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $11,472

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Date of last update: 01 Aug 2025

Sources: Florida Department of State