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JACK MAREK KLEM, MD PA - Florida Company Profile

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Company Details

Entity Name: JACK MAREK KLEM, MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Aug 2015 (10 years ago)
Document Number: P15000068225
FEI/EIN Number 47-4840042
Address: 8720 N KENDALL DRIVE, MIAMI, FL, 33176, US
Mail Address: 8860 SW 96TH STREET, MIAMI, FL, 33176, US
ZIP code: 33176
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
KLEM JACK M Manager 8720 NORTH KENDALL DRIVE, MIAMI, FL, 33176
KLEM JACK M Director 8720 NORTH KENDALL DRIVE, MIAMI, FL, 33176

National Provider Identifier

NPI Number:
1174021414

Authorized Person:

Name:
DR. JACK MAREK KLEM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Events

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 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
21111.00
Total Face Value Of Loan:
21111.00
Date:
2020-06-27
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:
20832.50
Total Face Value Of Loan:
20832.50

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$21,111
Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,111
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,392.67
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $21,110
Jobs Reported:
1
Initial Approval Amount:
$20,832.5
Date Approved:
2020-06-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,832.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,171.53
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $20,832.5

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Date of last update: 02 Jul 2025

Sources: Florida Department of State