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SOUTH FLORIDA CRITICAL CARE SERVICES, LLC

SOUTH FLORIDA CRITICAL CARE SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name:	SOUTH FLORIDA CRITICAL CARE SERVICES, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	08 Dec 2017 (8 years ago)
Document Number:	L17000252100
FEI/EIN Number	82-3699891
Address:	8370 W Flagler St, Ste 226, MIAMI, FL, 33144, US
Mail Address:	8370 W Flagler St, Ste 226, MIAMI, FL, 33144, US
ZIP code:	33144
City:	Miami
County:	Miami-Dade
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
PEREZ-FERNANDEZ JAVIER	Manager	8370 W Flagler St, MIAMI, FL, 33144
Portillo Douglas	Member	8370 W Flagler St, MIAMI, FL, 33144
Fuentes Karel	Member	8370 W Flagler St, MIAMI, FL, 33144
Rodriguez-Moran J. F	Member	8370 W Flagler St, MIAMI, FL, 33144
SCHERMER STEVEN J	Agent	100 SE 3rd Ave, FORT LAUDERDALE, FL, 33394

Unique Entity ID

Unique Entity ID:

FYQ7YK28E5B5

UEI Expiration Date:

2025-09-17

Business Information

Division Name:

SOUTH FLORIDA CRITICAL CARE SE

Activation Date:

2024-09-19

Initial Registration Date:

2024-09-17

National Provider Identifier

NPI Number:

1306354626

Certification Date:

2024-06-26

Link:

View on NPI website

Authorized Person:

Name:

DOUGLAS PORTILLO

Role:

PRESIDENT

Phone:

3052819398

Taxonomy:

Selected Taxonomy:

207RC0200X - Critical Care Medicine (Internal Medicine) Physician

Is Primary:

Yes

Contacts:

Phone:

+1 305-928-7249

Fax:

3056303632

Form 5500 Series

Employer Identification Number (EIN):

823699891

Plan Year:

2024

Number Of Participants:

129

Sponsors Telephone Number:

3056619404

File:

Plan Year:

2023

Number Of Participants:

123

Sponsors Telephone Number:

3056619404

File:

Plan Year:

2022

Number Of Participants:

112

Sponsors Telephone Number:

3056619404

File:

Plan Year:

2021

Number Of Participants:

81

Sponsors Telephone Number:

3056619404

File:

Plan Year:

2020

Number Of Participants:

31

Sponsors Telephone Number:

3056619404

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G18000037608	ICS	EXPIRED	2018-03-21	2023-12-31	-	7000 S.W. 62ND AVE, STE 201, MIAMI, FL, 33143
G18000037606	INTENSIVE CARE SOLUTIONS	ACTIVE	2018-03-21	2028-12-31	-	8370 W FLAGLER ST, STE 226, MIAMI, FL, 33144

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2023-04-06	8370 W Flagler St, Ste 226, MIAMI, FL 33144	-
CHANGE OF MAILING ADDRESS	2023-04-06	8370 W Flagler St, Ste 226, MIAMI, FL 33144	-
REGISTERED AGENT ADDRESS CHANGED	2023-04-06	100 SE 3rd Ave, Ste 1850, FORT LAUDERDALE, FL 33394	-

Documents

Name	Date
ANNUAL REPORT	2024-04-10
ANNUAL REPORT	2023-04-06
ANNUAL REPORT	2022-04-16
AMENDED ANNUAL REPORT	2021-08-05
ANNUAL REPORT	2021-04-27
ANNUAL REPORT	2020-04-24
ANNUAL REPORT	2019-02-27
ANNUAL REPORT	2018-07-19
Florida Limited Liability	2017-12-08

USAspending Awards / Financial Assistance

Date:

2020-04-07

Link:

View on USAspending

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:

736200.00

Total Face Value Of Loan:

736200.00

Paycheck Protection Program

Jobs Reported:

29

Initial Approval Amount:

$736,200

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$736,200

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$744,339.1

Servicing Lender:

Seacoast National Bank

Use of Proceeds:

Payroll: $736,200

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Date of last update: 01 Jul 2025

Sources: Florida Department of State