| Entity Name: | MARK BROUDO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARK BROUDO, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 25 Feb 2000 (25 years ago) |
| Document Number: | P00000020284 |
| FEI/EIN Number |
650986603
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1100 SW 57TH AVENUE, SUITE 100, MIAMI, FL, 33144, US |
| Mail Address: | 1100 SW 57TH AVENUE, SUITE 100, MIAMI, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477797413 | 2009-04-21 | 2009-04-21 | 1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL, 331445129, US | 1100 SW 57TH AVE, SUITE 100, WEST MIAMI, FL, 331445129, US | |||||||||||||||||
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| Phone | +1 305-262-6484 |
Authorized person
| Name | DR. MARK BROUDO |
| Role | PRESIDENT |
| Phone | 3052626484 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | ME74337 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK BROUDO M.D. P.A. 401(K) PROFIT SHARING PLAN | 2023 | 650986603 | 2024-10-09 | MARK BROUDO, M.D., P.A. | 4 | |||||||||||||||||||||||||||||||
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| MARK BROUDO M.D., P.A. 401K PROFIT SHARING PLAN | 2022 | 650986603 | 2023-09-08 | MARK BROUDO M.D., P.A. | 4 | |||||||||||||||||||||||||||||||
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| MARK BROUDO M.D., P.A. 401K PROFIT SHARING PLAN | 2011 | 650986603 | 2012-08-09 | MARK BROUDO M.D., P.A. | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650986603 |
| Plan administrator’s name | MARK BROUDO M.D., P.A. |
| Plan administrator’s address | 1100 SW 57TH AVENUE, SUITE 100, WEST MIAMI, FL, 331445129 |
| Administrator’s telephone number | 3052626484 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-09 |
| Name of individual signing | MARK BROUDO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052626484 |
| Plan sponsor’s address | 1100 SW 57TH AVENUE, SUITE 100, WEST MIAMI, FL, 331445129 |
Plan administrator’s name and address
| Administrator’s EIN | 650986603 |
| Plan administrator’s name | MARK BROUDO M.D., P.A. |
| Plan administrator’s address | 1100 SW 57TH AVENUE, SUITE 100, WEST MIAMI, FL, 331445129 |
| Administrator’s telephone number | 3052626484 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-05 |
| Name of individual signing | MARK BROUDO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052626484 |
| Plan sponsor’s address | 1100 SW 57TH AVENUE, SUITE 100, WEST MIAMI, FL, 331445129 |
Plan administrator’s name and address
| Administrator’s EIN | 650986603 |
| Plan administrator’s name | MARK BROUDO M.D., P.A. |
| Plan administrator’s address | 1100 SW 57TH AVENUE, SUITE 100, WEST MIAMI, FL, 331445129 |
| Administrator’s telephone number | 3052626484 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | MARK BROUDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BROUDO MARK M | Director | 6370 ALLISON ROAD, MIAMI BEACH, FL, 33141 |
| BROUDO MARK M | Agent | 6370 ALLISON ROAD, MIAMI BEACH, FL, 33141 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G00101900228 | FACE + BODY COSMETIC SURGERY | ACTIVE | 2000-04-11 | 2025-12-31 | - | 1100 S.W. 57TH AVE.,STE.100, SUITE 100, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-07 | 1100 SW 57TH AVENUE, SUITE 100, MIAMI, FL 33144 | - |
| CHANGE OF MAILING ADDRESS | 2009-03-07 | 1100 SW 57TH AVENUE, SUITE 100, MIAMI, FL 33144 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-10 | 6370 ALLISON ROAD, MIAMI BEACH, FL 33141 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4986757207 | 2020-04-27 | 0455 | PPP | 1100 SW 57th Avenue Suite 100, Miami, FL, 33144 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
