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BRISEIDA CASTA, MD, P.A. - Florida Company Profile

Company Details

Entity Name: BRISEIDA CASTA, MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BRISEIDA CASTA, MD, 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: 07 Jun 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Sep 2011 (14 years ago)
Document Number: P07000067168
FEI/EIN Number 260329122

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

Address: 2731 EXECUTIVE PARK DRIVE, SUITE 3, WESTON, FL, 33331, US
Mail Address: 2731 EXECUTIVE PARK DRIVE, SUITE 3, WESTON, FL, 33331, US
ZIP code: 33331
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447657051 2014-11-25 2014-11-25 2731 EXECUTIVE PARK DR, SUITE #3, WESTON, FL, 333313657, US 2731 EXECUTIVE PARK DR, SUITE #3, WESTON, FL, 333313657, US

Contacts

Phone +1 954-389-1064
Fax 9543893541

Authorized person

Name DR. BRISEIDA CASTA
Role OWNER
Phone 9543891064

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number ME74512
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 255595600
State FL

Key Officers & Management

Name Role Address
CASTA BRISEIDA President 2731 EXECUTIVE PARK DRIVE SUITE 3, WESTON, FL, 33337
CASTA BRISEIDA Vice President 2731 EXECUTIVE PARK DRIVE, WESTON, FL, 33331
CASTA BRISEIDA Secretary 2731 EXECUTIVE PARK DRIVE SUITE 3, WESTON, FL, 33337
CASTA BRISEIDA Treasurer 2731 EXECUTIVE PARK DRIVE, WESTON, FL, 33331
ALEXIS SANTOS Agent 621 SW 113TH. TERR, PEMBROKE PINES, FL, 33025

Events

Event Type Filed Date Value Description
REINSTATEMENT 2011-09-26 - -
REGISTERED AGENT NAME CHANGED 2011-09-26 ALEXIS, SANTOS -
REGISTERED AGENT ADDRESS CHANGED 2011-09-26 621 SW 113TH. TERR, PEMBROKE PINES, FL 33025 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2007-06-21 2731 EXECUTIVE PARK DRIVE, SUITE 3, WESTON, FL 33331 -
CHANGE OF MAILING ADDRESS 2007-06-21 2731 EXECUTIVE PARK DRIVE, SUITE 3, WESTON, FL 33331 -

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-31
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-05-02
ANNUAL REPORT 2015-04-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2163317901 2020-06-11 0455 PPP 2731 Executive Park Dr. Suite #3, Weston, FL, 33331
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16250
Loan Approval Amount (current) 16250
Undisbursed Amount 0
Franchise Name -
Lender Location ID 113190
Servicing Lender Name American Express National Bank
Servicing Lender Address 115 West Towne Ridge Parkway, Sandy, UT, 84070
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Weston, BROWARD, FL, 33331-0001
Project Congressional District FL-25
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 113190
Originating Lender Name American Express National Bank
Originating Lender Address Sandy, UT
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 16383.12
Forgiveness Paid Date 2021-04-08

Date of last update: 03 Apr 2025

Sources: Florida Department of State