Entity Name: | MAIKA HEALTHCARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
MAIKA HEALTHCARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 10 May 2005 (20 years ago) |
Document Number: | L05000046272 |
FEI/EIN Number |
202814172
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 6446 E Bay Blvd, GULF BREEZE, FL, 32563, US |
Mail Address: | 5696 E Bay Blvd, GULF BREEZE, FL, 32563, US |
ZIP code: | 32563 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033143045 | 2006-07-10 | 2008-09-15 | 7552 NAVARRE PKWY, SUITE # 13, NAVARRE, FL, 325667305, US | 7552 NAVARRE PKWY, SUITE # 13, NAVARRE, FL, 325667305, US | |||||||||||||||||||||||||||||
|
Phone | +1 850-939-9876 |
Fax | 8509399877 |
Authorized person
Name | TIEN MARK DUC TRAN |
Role | SOLE OFFICER |
Phone | 8509399876 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME90850 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 271356000 |
State | FL |
Issuer | MEDICARE IDENTIFICATION NUMBER |
Number | U3213Y |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MAIKA HEALTHCARE, LLC 401(K) PLAN | 2017 | 202814172 | 2018-07-19 | MAIKA HEALTHCARE, LLC | 2 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2018-07-19 |
Name of individual signing | MARK D. TRAN, M.D. |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8509399876 |
Plan sponsor’s address | 1403 CHAMPIONS GREEN DRIVE, GULF BREEZE, FL, 32563 |
Signature of
Role | Plan administrator |
Date | 2017-10-12 |
Name of individual signing | MARK D. TRAN, M.D. |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2017-10-12 |
Name of individual signing | MARK D.TRAN, M.D. |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8509399876 |
Plan sponsor’s address | 7552 NAVARRE PARKWAY, SUITE 13, NAVARRE, FL, 32566 |
Signature of
Role | Plan administrator |
Date | 2016-09-15 |
Name of individual signing | MARK D. TRAN, M.D. |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8509399876 |
Plan sponsor’s address | 7552 NAVARRE PARKWAY, SUITE 13, NAVARRE, FL, 32566 |
Signature of
Role | Plan administrator |
Date | 2015-10-08 |
Name of individual signing | MARK D. TRAN, M.D. |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8509399876 |
Plan sponsor’s address | 7552 NAVARRE PARKWAY, SUITE 13, NAVARRE, FL, 32566 |
Signature of
Role | Plan administrator |
Date | 2014-09-23 |
Name of individual signing | MARK D. TRAN, M.D. |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
TRAN MARK M | Agent | 6446 E Bay Blvd, GULF BREEZE, FL, 32563 |
TRAN MARK M | Managing Member | 6446 E Bay Blvd, GULF BREEZE, FL, 32563 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-12-18 | 6446 E Bay Blvd, GULF BREEZE, FL 32563 | - |
CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 6446 E Bay Blvd, GULF BREEZE, FL 32563 | - |
REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 6446 E Bay Blvd, GULF BREEZE, FL 32563 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-31 |
ANNUAL REPORT | 2023-02-28 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-01-11 |
ANNUAL REPORT | 2020-01-14 |
ANNUAL REPORT | 2019-03-29 |
ANNUAL REPORT | 2018-01-12 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-03-07 |
ANNUAL REPORT | 2015-02-20 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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5093587408 | 2020-05-11 | 0491 | PPP | 1403 CHAMPIONS GREEN DR, Gulf Breeze, FL, 32563 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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7606248402 | 2021-02-12 | 0491 | PPS | 1403 Champions Green Dr, Gulf Breeze, FL, 32563-3575 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State