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ALEXANDER PUSHKA, MD, PA - Florida Company Profile

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Company Details

Entity Name: ALEXANDER PUSHKA, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Nov 2009 (16 years ago)
Document Number: P09000093791
FEI/EIN Number 271310103
Address: 7369 Sheridan Street, Hollywood, FL, 33024, US
Mail Address: 10585 BLUE PALM STREET, FORT LAUDERDALE, FL, 33324, US
ZIP code: 33024
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PUSHKA ALEXANDER President 10585 BLUE PALM STREET, PLANTATION, FL, 33324
KLEYMAN ROMAN Agent 1060 LYONTREE STREET, HOLLYWOOD, FL, 33019

National Provider Identifier

NPI Number:
1205101862
Certification Date:
2020-08-12

Authorized Person:

Name:
ALEXANDER PUSHKA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
9549835086

Events

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 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
31250.00
Total Face Value Of Loan:
31250.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$31,250
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,587.33
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $31,250

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Date of last update: 01 Aug 2025

Sources: Florida Department of State