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BREVARD PRIMARY CARE LLC - Florida Company Profile

Company Details

Entity Name: BREVARD PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BREVARD PRIMARY CARE 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 20 Apr 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 18 Aug 2022 (3 years ago)
Document Number: L10000043172
FEI/EIN Number 272515402

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1185 TALON WAY, MELBOURNE, FL, 32934, US
Mail Address: 1185 TALON WAY, MELBOURNE, FL, 32934, US
ZIP code: 32934
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376958462 2014-06-26 2014-06-26 1185 TALON WAY, MELBOURNE, FL, 329343257, US 1185 TALON WAY, MELBOURNE, FL, 329343257, US

Contacts

Phone +1 321-948-8555

Authorized person

Name DR. BHAVANI M PUSKUR
Role PRACTICE OWNER
Phone 3219488555

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
PUSKUR BHAVANI SDr. Managing Member 1185 TALON WAY, MELBOURNE, FL, 32934
PUSKUR BHAVANI Dr. Agent 1185 TALON WAY, MELBOURNE, FL, 32934
Dr Bhavani Puskur Manager 1185 TALON WAY, MELBOURNE, FL, 32934

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-25 PUSKUR, BHAVANI, Dr. -
LC AMENDMENT 2022-08-18 - -

Documents

Name Date
ANNUAL REPORT 2024-01-25
AMENDED ANNUAL REPORT 2023-07-19
ANNUAL REPORT 2023-01-18
LC Amendment 2022-08-18
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1173507702 2020-05-01 0455 PPP 1185 TALON WAY, MELBOURNE, FL, 32934
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 12500
Loan Approval Amount (current) 12500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MELBOURNE, BREVARD, FL, 32934-0001
Project Congressional District FL-08
Number of Employees 2
NAICS code 624110
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 12616.03
Forgiveness Paid Date 2021-04-08

Date of last update: 01 Apr 2025

Sources: Florida Department of State