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FLORENCE MEDICAL GROUP, P.S.C.

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Company Details

Name: FLORENCE MEDICAL GROUP, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Jun 2002 (23 years ago)
Organization Date: 27 Jun 2002 (23 years ago)
Last Annual Report: 18 Mar 2025 (4 months ago)
Organization Number: 0539685
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 8731- A BANKERS STREET, FLORENCE, KY 41042
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
THERESA ZUNIGA Registered Agent

President

Name Role
Jeanne Gripshover President

Director

Name Role
Theresa Zuniga Director

Shareholder

Name Role
Jeanne Gripshover Shareholder

Incorporator

Name Role
KHEDER KUTMAH Incorporator

National Provider Identifier

NPI Number:
1821033499
Certification Date:
2025-04-01

Authorized Person:

Name:
JEANNE GRIPSHOVER
Role:
NEW OWNER/ADMINISTRATOR/NP
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8592828830

Filings

Name File Date
Annual Report 2025-03-18
Amendment 2024-12-17
Registered Agent name/address change 2024-11-27
Annual Report 2024-03-12
Annual Report 2023-03-15

OSHA's Inspections within Industry

Inspection Summary

Date:
2011-03-11
Type:
Complaint
Address:
8731-A BANKERS STREET, FLORENCE, KY, 41042
Safety Health:
Health
Scope:
Complete

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$44,250
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$44,553.6
Servicing Lender:
Stock Yards Bank & Trust Company
Use of Proceeds:
Payroll: $37,265
Utilities: $985
Rent: $6,000

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Sources: Kentucky Secretary of State