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KENNETH A. ROSEN, M.D., P.A.

KENNETH A. ROSEN, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name:	KENNETH A. ROSEN, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	03 Jan 1977 (49 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	29 Apr 2024 (a year ago)
Document Number:	521706
FEI/EIN Number	591707209
Address:	10300 S.W. 72nd Street, MIAMI, FL, 33173, US
Mail Address:	10300 S.W. 72nd Street, MIAMI, FL, 33173, US
ZIP code:	33173
City:	Miami
County:	Miami-Dade
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
Rosen Francis	Vice President	9120 S.W. 103 St, Miami, FL, 33176
ROSEN KENNETH A	Agent	10300 S.W. 72nd Street, MIAMI, FL, 33173
ROSEN, KENNETH A.	President	9120 SW 103 CT, MIAMI, FL, 33176
ROSEN, KENNETH A.	Secretary	9120 SW 103 CT, MIAMI, FL, 33176
ROSEN, KENNETH A.	Director	9120 SW 103 CT, MIAMI, FL, 33176
ROSEN, KENNETH A.	Vice President	9120 SW 103 ST, MIAMI, FL, 33176
ROSEN, KENNETH A.	Treasurer	9120 SW 103 ST, MIAMI, FL, 33176

National Provider Identifier

NPI Number:

1477008159

Link:

View on NPI website

Authorized Person:

Name:

KENNETH A ROSEN

Role:

PHYSICIAN/OWNER

Phone:

3052796012

Taxonomy:

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 407-875-2080

Fax:

4076503455

Phone:

+1 305-279-6012

Fax:

3052797709

Form 5500 Series

Employer Identification Number (EIN):

591707209

Plan Year:

2011

Number Of Participants:

15

Sponsors Telephone Number:

3052796013

File:

Plan Year:

2011

Number Of Participants:

5

Sponsors Telephone Number:

3052796013

File:

Plan Year:

2010

Number Of Participants:

9

Sponsors Telephone Number:

3052796013

File:

Plan Year:

2009

Number Of Participants:

9

Sponsors Telephone Number:

3052796013

File:

Events

Event Type	Filed Date	Value	Description
REINSTATEMENT	2024-04-29	-	-
REGISTERED AGENT NAME CHANGED	2024-04-29	ROSEN, KENNETH A	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2023-09-22	-	-
CHANGE OF PRINCIPAL ADDRESS	2014-01-07	10300 S.W. 72nd Street, Suite # 150, MIAMI, FL 33173	-
CHANGE OF MAILING ADDRESS	2014-01-07	10300 S.W. 72nd Street, Suite # 150, MIAMI, FL 33173	-
REGISTERED AGENT ADDRESS CHANGED	2014-01-07	10300 S.W. 72nd Street, Suite # 150, MIAMI, FL 33173	-

Documents

Name	Date
REINSTATEMENT	2024-04-29
ANNUAL REPORT	2022-03-08
ANNUAL REPORT	2021-04-13
ANNUAL REPORT	2020-02-12
ANNUAL REPORT	2019-01-16
ANNUAL REPORT	2018-01-15
ANNUAL REPORT	2017-04-03
ANNUAL REPORT	2016-01-22
ANNUAL REPORT	2015-03-18
ANNUAL REPORT	2014-01-07

USAspending Awards / Financial Assistance

Date:

2020-04-22

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

ECONOMIC INJURY DISASTER GRANT

Obligated Amount:

10000.00

Face Value Of Loan:

0.00

Total Face Value Of Loan:

0.00

Date:

2020-04-07

Link:

View on USAspending

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:

144000.00

Total Face Value Of Loan:

144000.00

Paycheck Protection Program

Jobs Reported:

16

Initial Approval Amount:

$144,000

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$144,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$145,534.68

Servicing Lender:

City National Bank of Florida

Use of Proceeds:

Payroll: $108,000
Utilities: $36,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State