| Entity Name: | JACK MAREK KLEM, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JACK MAREK KLEM, MD PA 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: | 12 Aug 2015 (10 years ago) |
| Document Number: | P15000068225 |
| FEI/EIN Number |
47-4840042
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8720 N KENDALL DRIVE, MIAMI, FL, 33176, US |
| Mail Address: | 8860 SW 96TH STREET, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174021414 | 2018-01-31 | 2018-01-31 | 13055 SW 42ND ST STE 201, MIAMI, FL, 331753410, US | 11760 SW 40TH ST, MIAMI, FL, 331753582, US | |||||||||||||||||||||||
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| Phone | +1 305-223-3000 |
Authorized person
| Name | DR. JACK MAREK KLEM |
| Role | OWNER |
| Phone | 7866078047 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| License Number | ME97440 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019067500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE TARICH LAW FIRM P.A. | Agent | - |
| KLEM JACK M | Manager | 8720 NORTH KENDALL DRIVE, MIAMI, FL, 33176 |
| KLEM JACK M | Director | 8720 NORTH KENDALL DRIVE, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-11 | 8720 N KENDALL DRIVE, SUITE 108, MIAMI, FL 33176 | - |
| CHANGE OF MAILING ADDRESS | 2017-07-21 | 8720 N KENDALL DRIVE, SUITE 108, MIAMI, FL 33176 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-07-21 |
| ANNUAL REPORT | 2016-05-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2460848300 | 2021-01-20 | 0455 | PPS | 8860 SW 96th St, Miami, FL, 33176-2928 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5255528009 | 2020-06-27 | 0455 | PPP | 8860 SW 96TH ST, MIAMI, FL, 33176-2928 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
