| Entity Name: | PRAWER MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRAWER MEDICAL GROUP, 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: | 17 Apr 2017 (8 years ago) |
| Document Number: | L17000084867 |
| FEI/EIN Number |
82-1362197
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5101 Brittany Drive South, Saint Petersburg, FL, 33715, US |
| Mail Address: | 200 2ND AVE SOUTH, #781, ST. PETERSBURG, FL, 33701, US |
| ZIP code: | 33715 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275053415 | 2017-06-20 | 2022-07-21 | 2410 NORTHSIDE DR, CLEARWATER, FL, 337612236, US | 5101 BRITTANY DR S, ST PETERSBURG, FL, 337151565, US | |||||||||||||||||||||||
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| Phone | +1 727-499-0351 |
| Fax | 7277813312 |
| Phone | +1 727-644-8216 |
Authorized person
| Name | DR. ADAM PRAWER |
| Role | PRESIDENT |
| Phone | 7276448216 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME108773 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRAWER MEDICAL GROUP 401(K) PROFIT SHARING PLAN | 2023 | 821362197 | 2024-05-01 | PRAWER MEDICAL GROUP | 17 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-01 |
| Name of individual signing | CETERA RETIREMENT PLAN SPECIALISTS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276448216 |
| Plan sponsor’s address | 5101 BRITTANY DRIVE SOUTH, ST. PETERSBURG, FL, 33715 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-20 |
| Name of individual signing | CETERA RETIREMENT PLAN SPECIALISTS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276448216 |
| Plan sponsor’s address | 5101 BRITTANY DRIVE SOUTH, ST. PETERSBURG, FL, 33715 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276448216 |
| Plan sponsor’s address | 5101 BRITTANY DRIVE SOUTH, ST. PETERSBURG, FL, 33715 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276448216 |
| Plan sponsor’s address | 5101 BRITTANY DRIVE SOUTH, ST. PETERSBURG, FL, 33715 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276448216 |
| Plan sponsor’s address | 5101 BRITTANY DRIVE SOUTH, ST. PETERSBURG, FL, 33715 |
| Name | Role | Address |
|---|---|---|
| Prawer Adam | Manager | 200 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701 |
| Prawer Adam | Director | 200 2ND AVE SOUTH, ST. PETERSBURG, FL, 33701 |
| PRAWER ADAM | Agent | 272 Bayview Drive NE, Saint Petersburg, FL, 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-02-01 | 5101 Brittany Drive South, Saint Petersburg, FL 33715 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-03 | 272 Bayview Drive NE, Saint Petersburg, FL 33704 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-04 | 5101 Brittany Drive South, Saint Petersburg, FL 33715 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-14 |
| Florida Limited Liability | 2017-04-17 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
