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JOHN B. CRESCITELLI, D.O., P.A. - Florida Company Profile

Company Details

Entity Name: JOHN B. CRESCITELLI, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JOHN B. CRESCITELLI, D.O., 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: 15 Mar 2002 (23 years ago)
Document Number: P02000031045
FEI/EIN Number 030412818

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10255 NW 60th Place, Parkland, FL, 33076, US
Mail Address: 10255 NW 60TH PLACE, PARKLAND, FL, 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134666423 2017-01-24 2017-01-24 5944 CORAL RIDGE DR, #167, CORAL SPRINGS, FL, 330763300, US 1 W SAMPLE RD, SUITE 302, POMPANO BEACH, FL, 330643547, US

Contacts

Phone +1 954-383-1867
Fax 9545750291
Phone +1 954-366-3332
Fax 9543664523

Authorized person

Name DR. JOHN B CRESCITELLI
Role PHYSICIAN/OWNER
Phone 9543831867

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 7485
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
CRESCITELLI JOHN B Director 10255 NW 60TH PLACE, PARKLAND, FL, 33076
CRESCITELLI JOHN B Agent 10255 NW 60TH PLACE, PARKLAND, FL, 33076

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-13 10255 NW 60th Place, Parkland, FL 33076 -
CHANGE OF MAILING ADDRESS 2003-03-10 10255 NW 60th Place, Parkland, FL 33076 -
REGISTERED AGENT ADDRESS CHANGED 2003-03-10 10255 NW 60TH PLACE, PARKLAND, FL 33076 -

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-02-13
ANNUAL REPORT 2021-02-20
ANNUAL REPORT 2020-01-26
ANNUAL REPORT 2019-02-23
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-01-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4028757105 2020-04-12 0455 PPP 10255 NW 60th Place, Parkland, FL, 33076-2523
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 28502.5
Loan Approval Amount (current) 28502.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Parkland, BROWARD, FL, 33076-2523
Project Congressional District FL-23
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 28693.04
Forgiveness Paid Date 2020-12-31

Date of last update: 02 Apr 2025

Sources: Florida Department of State