| Entity Name: | FIT LIFE PEDIATRIC CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FIT LIFE PEDIATRIC CONSULTANTS, 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 Aug 2016 (9 years ago) |
| Document Number: | L16000161322 |
| FEI/EIN Number |
81-3758597
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9020 SW 137 AVENUE, SUITE 200, BUILDING 3, MIAMI, FL, 33186 |
| Mail Address: | 9020 SW 137th Avenue, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326587601 | 2017-02-20 | 2024-04-20 | 9020 SW 137TH AVE STE 200, MIAMI, FL, 331861430, US | 9020 SW 137TH AVE STE 200, MIAMI, FL, 331861430, US | |||||||||||||||||||||||||
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| Phone | +1 305-777-3505 |
| Fax | 7868662599 |
Authorized person
| Name | DR. DAMARIS MAFUT |
| Role | PRESIDENT |
| Phone | 3057773505 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | OS10933 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020390800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAFUT DAMARIS | Manager | 9020 SW 137th Avenue, MIAMI, FL, 33186 |
| MAFUT DAMARIS | Agent | 9020 SW 137th Avenue, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-04-03 | 9020 SW 137 AVENUE, SUITE 200, BUILDING 3, MIAMI, FL 33186 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-03 | 9020 SW 137th Avenue, Suite 200, MIAMI, FL 33186 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-02-08 |
| Florida Limited Liability | 2016-08-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4731117310 | 2020-04-30 | 0455 | PPP | 9020 SW 137th Avenue, Miami, FL, 33186 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1257538900 | 2021-04-24 | 0455 | PPS | 9020 SW 137th Ave Ste 200, Miami, FL, 33186-1427 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
