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BARRY C. PEVNER, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: BARRY C. PEVNER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Oct 1988 (37 years ago)
Document Number: K41960
FEI/EIN Number 650081751
Address: % DR. BARRY C. PEVNER, 601 N. FLAMINGO RD., #101, PEMBROKE PINES, FL, 33028, US
Mail Address: % DR. BARRY C. PEVNER, 601 N. FLAMINGO RD., #101, PEMBROKE PINES, FL, 33028, US
ZIP code: 33028
City: Pembroke Pines
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PEVNER, BARRY C., DR. Secretary 601 N. FLAMINGO ROAD, SUITE 101, PEMBROKE PINES, FL, 33028
PEVNER, BARRY C., DR. President 601 N. FLAMINGO ROAD, SUITE 101, PEMBROKE PINES, FL, 33028
PEVNER, BARRY C., DR. Treasurer 601 N. FLAMINGO ROAD, SUITE 101, PEMBROKE PINES, FL, 33028
PEVNER, BARRY C., DR. Agent 601 N. FLAMINGO ROAD, SUITE 101, PEMBROKE PINES, FL, 33028

National Provider Identifier

NPI Number:
1598875486
Certification Date:
2021-03-23

Authorized Person:

Name:
DR. BARRY C PEVNER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9544368024

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-20 % DR. BARRY C. PEVNER, 601 N. FLAMINGO RD., #101, PEMBROKE PINES, FL 33028 -
CHANGE OF MAILING ADDRESS 2023-01-20 % DR. BARRY C. PEVNER, 601 N. FLAMINGO RD., #101, PEMBROKE PINES, FL 33028 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-20 601 N. FLAMINGO ROAD, SUITE 101, PEMBROKE PINES, FL 33028 -

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-20

USAspending Awards / Financial Assistance

Date:
2020-05-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-29
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:
23232.70
Total Face Value Of Loan:
23232.70
Date:
2020-04-29
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:
23232.70
Total Face Value Of Loan:
23232.70

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$23,232.7
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,232.7
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$23,373.06
Servicing Lender:
Centennial Bank
Use of Proceeds:
Payroll: $23,232.7
Jobs Reported:
2
Initial Approval Amount:
$21,325
Date Approved:
2021-03-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,325
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,500.27
Servicing Lender:
Centennial Bank
Use of Proceeds:
Payroll: $21,321
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State