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SOUTH FLORIDA PHYSIATRY LLC - Florida Company Profile

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Company Details

Entity Name: SOUTH FLORIDA PHYSIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Mar 2017 (8 years ago)
Document Number: L17000050062
FEI/EIN Number 820751822
Address: 1755 SW 12TH ST, MIAMI, FL, 33135, US
Mail Address: 1755 SW 12TH ST, MIAMI, FL, 33135, US
ZIP code: 33135
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VELEZ-COUTO CARLA M Manager 1755 SW 12TH ST, MIAMI, FL, 33135
VASQUEZ-DUARTE RICARDO J Manager 1755 SW 12TH ST, MIAMI, FL, 33135
VELEZ-COUTO CARLA M Agent 1755 SW 12TH ST, MIAMI, FL, 33135

Unique Entity ID

Unique Entity ID:
R534ZWAF7FK5
UEI Expiration Date:
2026-05-13

Business Information

Division Name:
SOUTH FLORIDA PHYSIATRY, LLC
Activation Date:
2025-05-15
Initial Registration Date:
2025-05-13

National Provider Identifier

NPI Number:
1285175125
Certification Date:
2024-12-14

Authorized Person:

Name:
CARLA M VELEZ-COUTO
Role:
MGR
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
8889298436

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000034852 SPORTS MEDICINE GROUP EXPIRED 2017-04-01 2022-12-31 - 1755 SW 12TH ST, MIAMI, FL, 33135

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-04-01
Florida Limited Liability 2017-03-03

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
15000.00
Total Face Value Of Loan:
15000.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$15,000
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$15,147.92
Servicing Lender:
BankUnited, National Association
Use of Proceeds:
Payroll: $15,000

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Date of last update: 01 Jul 2025

Sources: Florida Department of State