| Entity Name: | PRESTIGE PHYSICIANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRESTIGE PHYSICIANS 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: | 29 Jun 2016 (9 years ago) |
| Document Number: | L16000124834 |
| FEI/EIN Number |
81-3097633
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1200 EAST BROWARD BLVD, FORT LAUDERDALE, FL, 33301, US |
| Mail Address: | 1200 East Broward Blvd, FORT LAUDERDALE, FL, 33301, US |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699217281 | 2016-11-14 | 2019-01-17 | 4701 N FEDERAL HWY STE A21, FT LAUDERDALE, FL, 333084608, US | 4701 N FEDERAL HWY STE A21, FT LAUDERDALE, FL, 333084608, US | |||||||||||||||||||||||||||
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| Phone | +1 954-770-0611 |
| Fax | 9544913930 |
Authorized person
| Name | DR. KIRA FENTON |
| Role | PRESIDENT |
| Phone | 9547710611 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS11016 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS11264 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FENTON KIRA DO | Manager | 1272 NORTH RIO VISTA BLVD., FORT LAUDERDALE, FL, 33316 |
| SAVU CRISTINA EDO | Manager | 1272 NORTH RIO VISTA BLVD., FORT LAUDERDALE, FL, 33316 |
| FENTON KIRA DO | Agent | 1272 NORTH RIO VISTA BLVD., FORT LAUDERDALE, FL, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 1200 EAST BROWARD BLVD, FORT LAUDERDALE, FL 33301 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-11 | 1200 EAST BROWARD BLVD, FORT LAUDERDALE, FL 33301 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-09 |
| Florida Limited Liability | 2016-06-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5394407709 | 2020-05-01 | 0455 | PPP | 4700 NORTH FEDERAL HWY A21, FORT LAUDERDALE, FL, 33308 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
