| Entity Name: | ALEXANDER PUSHKA, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ALEXANDER PUSHKA, 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: | 16 Nov 2009 (15 years ago) |
| Document Number: | P09000093791 |
| FEI/EIN Number |
271310103
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7369 Sheridan Street, Hollywood, FL, 33024, US |
| Mail Address: | 10585 BLUE PALM STREET, FORT LAUDERDALE, FL, 33324, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205101862 | 2012-03-15 | 2020-08-12 | 7369 SHERIDAN ST STE 203, HOLLYWOOD, FL, 330242776, US | 7369 SHERIDAN ST STE 203, HOLLYWOOD, FL, 330242776, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-983-5330 |
| Fax | 9549835086 |
Authorized person
| Name | ALEXANDER PUSHKA |
| Role | OWNER |
| Phone | 9545791110 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME88666 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME88666 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | GROUP MEDICAID NUMBER |
| Number | 004704500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PUSHKA ALEXANDER | President | 10585 BLUE PALM STREET, PLANTATION, FL, 33324 |
| KLEYMAN ROMAN | Agent | 1060 LYONTREE STREET, HOLLYWOOD, FL, 33019 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-25 | 7369 Sheridan Street, Suite 203, Hollywood, FL 33024 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-03 | 7369 Sheridan Street, Suite 203, Hollywood, FL 33024 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6017237705 | 2020-05-01 | 0455 | PPP | 7369 SHERIDAN ST STE 203, HOLLYWOOD, FL, 33024-2776 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
