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MICHELLE HENNE, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MICHELLE HENNE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 May 2017 (8 years ago)
Document Number: P17000039359
FEI/EIN Number 82-1469024
Address: 5535 Cypress Gardens Blvd, WINTER HAVEN, FL, 33884, US
Mail Address: 5535 Cypress Gardens Blvd, WINTER HAVEN, FL, 33884, US
ZIP code: 33884
City: Winter Haven
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HENNE MICHELLE I Officer 1510 S. LAKE ROCHELLE DR., WINTER HAVEN, FL, 33881
HENNE MICHELLE I Agent 1510 S. LAKE ROCHELLE DR., WINTER HAVEN, FL, 33881

National Provider Identifier

NPI Number:
1962938894

Authorized Person:

Name:
MICHELLE HENNE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8634101108

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-02-12 5535 Cypress Gardens Blvd, 270, WINTER HAVEN, FL 33884 -
CHANGE OF MAILING ADDRESS 2018-02-12 5535 Cypress Gardens Blvd, 270, WINTER HAVEN, FL 33884 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-02-12
Domestic Profit 2017-05-01

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
3605.78
Total Face Value Of Loan:
3605.78
Date:
2020-04-13
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:
3605.78
Total Face Value Of Loan:
3605.78

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$3,605.78
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,605.78
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$3,628.82
Servicing Lender:
Citizens Bank and Trust
Use of Proceeds:
Payroll: $3,605.78

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Date of last update: 03 Aug 2025

Sources: Florida Department of State