| Entity Name: | DAVID BRAUN MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DAVID BRAUN MD PLLC 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: | 05 Aug 2015 (10 years ago) |
| Document Number: | L15000133933 |
| FEI/EIN Number |
47-4754011
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1745 OYSTER POINT WAY, Palm Harbor, FL, 34683, US |
| Address: | 3180 Curlew Rd, Oldsmar, FL, 34677, US |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205357092 | 2017-06-30 | 2020-09-23 | 1745 OYSTER POINT WAY, PALM HARBOR, FL, 346833431, US | 4820 PARK BLVD N, PINELLAS PARK, FL, 337813534, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-209-6677 |
| Fax | 7278737408 |
Authorized person
| Name | DR. DAVID TIMOTHY BRAUN |
| Role | OWNER |
| Phone | 7272096677 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0004X - Orthopaedic Foot and Ankle Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012959000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID BRAUN MD PLLC 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 474754011 | 2020-07-14 | DAVID BRAUN MD PLLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-07-14 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BRAUN DAVID T | President | 1745 OYSTER POINT WAY, Palm Harbor, FL, 34683 |
| Braun Caitlin | Vice President | 1745 OYSTER POINT WAY, Palm Harbor, FL, 34683 |
| BRAUN DAVID T | Agent | 1745 OYSTER POINT WAY, Palm Harbor, FL, 34683 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000002191 | BAY AREA ORTHOPAEDIC SPECIALISTS | ACTIVE | 2018-01-03 | 2028-12-31 | - | 1745 OYSTER POINT WAY, PALM HARBOR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-10 | 4820 Park Blvd N, Suite 1, Pinellas Park, FL 33781 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-10 | 1745 OYSTER POINT WAY, Palm Harbor, FL 34683 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-03 | 4820 Park Blvd N, Suite 1, Pinellas Park, FL 33781 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-10 |
| AMENDED ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-09-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1934808809 | 2021-04-11 | 0455 | PPS | 3372 Covered Bridge Dr E, Dunedin, FL, 34698-9312 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
