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SAWGRASS HOSPITALIST, PA - Florida Company Profile

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Company Details

Entity Name: SAWGRASS HOSPITALIST, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SAWGRASS HOSPITALIST, 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: 08 Jun 2012 (13 years ago)
Document Number: P12000052349
FEI/EIN Number 45-5544298

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

Address: 4160 DERBY DR, DAVIE, FL, 33330, US
Mail Address: 4160 Derby Dr, Davie, FL, 33330, US
ZIP code: 33330
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRICENO RAFAEL SM.D. President 4160 DERBY DR, DAVIE, FL, 33330
BRICENO RAFAEL SM.D. Agent 4160 Derby Dr, Davie, FL, 33330

National Provider Identifier

NPI Number:
1447595194

Authorized Person:

Name:
RAFAEL SEGUNDO BRICENO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
9549646084

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-27 4160 Derby Dr, Davie, FL 33330 -
CHANGE OF PRINCIPAL ADDRESS 2021-06-14 4160 DERBY DR, DAVIE, FL 33330 -
CHANGE OF MAILING ADDRESS 2021-03-17 4160 DERBY DR, DAVIE, FL 33330 -
REGISTERED AGENT NAME CHANGED 2014-02-28 BRICENO, RAFAEL S, M.D. -

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-02-02
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-03-28

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
42256.00
Total Face Value Of Loan:
42256.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$42,256
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$42,256
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$42,631.09
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $42,256

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Date of last update: 03 Jul 2025

Sources: Florida Department of State