| Entity Name: | MARIANA MARTINASEVIC MD. PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARIANA MARTINASEVIC MD. PA 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: | 12 Oct 2005 (20 years ago) |
| Document Number: | P05000139677 |
| FEI/EIN Number |
203654329
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2021 E Commercial Blvd, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 2021 E Commercial Blvd, Suite 207, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336160514 | 2006-07-22 | 2008-03-25 | 6245 N FEDERAL HWY, SUITE 201, FT LAUDERDALE, FL, 333081998, US | 6245 N FEDERAL HWY, SUITE 201, FT LAUDERDALE, FL, 333081998, US | |||||||||||||||||||||||||
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| Phone | +1 954-491-4455 |
| Fax | 9544914553 |
Authorized person
| Name | MRS. MARIANA MARTINASEVIC |
| Role | CEO |
| Phone | 9544914455 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME87810 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 37860I |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIANA MARTINASEVIC, MD, PA 401(K) PLAN | 2012 | 203654329 | 2013-01-25 | MARIANA MARTINASEVIC, MD, PA | 2 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-01-25 |
| Name of individual signing | JAY NICHOLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9544914455 |
| Plan sponsor’s address | 2400 EAST COMMERCIAL BOULEVARD, SUITE 723, FT. LAUDERDALE, FL, 33308 |
Plan administrator’s name and address
| Administrator’s EIN | 203654329 |
| Plan administrator’s name | MARIANA MARTINASEVIC, MD, PA |
| Plan administrator’s address | 2400 EAST COMMERCIAL BOULEVARD, SUITE 723, FT. LAUDERDALE, FL, 33308 |
| Administrator’s telephone number | 9544914455 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-21 |
| Name of individual signing | JAY NICHOLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9544914455 |
| Plan sponsor’s address | 2400 EAST COMMERCIAL BOULEVARD, SUITE 723, FT. LAUDERDALE, FL, 33308 |
Plan administrator’s name and address
| Administrator’s EIN | 203654329 |
| Plan administrator’s name | MARIANA MARTINASEVIC, MD, PA |
| Plan administrator’s address | 2400 EAST COMMERCIAL BOULEVARD, SUITE 723, FT. LAUDERDALE, FL, 33308 |
| Administrator’s telephone number | 9544914455 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-24 |
| Name of individual signing | JAY NICHOLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9544914455 |
| Plan sponsor’s address | 2400 EAST COMMERCIAL BOULEVARD, SUITE 723, FT. LAUDERDALE, FL, 33308 |
Plan administrator’s name and address
| Administrator’s EIN | 203654329 |
| Plan administrator’s name | MARIANA MARTINASEVIC, MD, PA |
| Plan administrator’s address | 2400 EAST COMMERCIAL BOULEVARD, SUITE 723, FT. LAUDERDALE, FL, 33308 |
| Administrator’s telephone number | 9544914455 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-02 |
| Name of individual signing | JAY NICHOLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MARTINASEVIC MARIANA | President | 2400 East Commercial Boulevard, FORT LAUDERDALE, FL, 333084001 |
| MARTINASEVIC MARIANA | Director | 2400 East Commercial Boulevard, FORT LAUDERDALE, FL, 333084001 |
| MARTINASEVIC MARIANA | Agent | 2021 E Commercial Blvd, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-20 | 2021 E Commercial Blvd, Suite 207, FORT LAUDERDALE, FL 33308 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-20 | 2021 E Commercial Blvd, Suite 207, FORT LAUDERDALE, FL 33308 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-20 | 2021 E Commercial Blvd, Suite 207, FORT LAUDERDALE, FL 33308 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6988907708 | 2020-05-01 | 0455 | PPP | 2400 E COMMERCIAL BLVD STE 723, FORT LAUDERDALE, FL, 33308-4052 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
