| Entity Name: | BRICENO MARTIN P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BRICENO MARTIN 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: | 20 Jul 2016 (9 years ago) |
| Document Number: | P16000060679 |
| FEI/EIN Number |
81-3325628
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14750 nw 77 ct, Miami lakes, FL, 33016, US |
| Mail Address: | 14750 nw 77 ct, Miami lakes, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386156081 | 2017-11-02 | 2020-02-03 | 14750 NW 77TH CT STE 110, MIAMI LAKES, FL, 330161507, US | 14750 NW 77TH CT, MIAMI LAKES, FL, 330161507, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-456-7313 |
| Phone | +1 786-251-2719 |
Authorized person
| Name | DR. MARIA BRICENO |
| Role | OPTOMETRIST |
| Phone | 7862512719 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4209 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | AI848Z |
| State | FL |
| Issuer | MEDICAID |
| Number | 000019400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRICENO MARTIN MARIA | President | 3890 SW 146 AVE, MIRAMAR, FL, 33027 |
| MARTIN GREGORY A | Vice President | 3890 SW 146 AVE, MIRAMAR, FL, 33027 |
| MARTIN GREGORY | Agent | 3890 SW 146 AVE, MIRAMAR, FL, 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000100541 | LAKES FAMILY EYE CARE | ACTIVE | 2017-09-02 | 2027-12-31 | - | 14750 NW 77 COURT, 110, MIAMI LAKES, FL, 33016 |
| G17000092306 | BRICENO MARTIN EYE CARE | EXPIRED | 2017-08-21 | 2022-12-31 | - | 3890 SW 146 AVE, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-12 | 14750 nw 77 ct, 110, Miami lakes, FL 33016 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-12 | 14750 nw 77 ct, 110, Miami lakes, FL 33016 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-11 |
| Domestic Profit | 2016-07-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3759417303 | 2020-04-29 | 0455 | PPP | 14750 NW 77 COURT SUITE 110, MIAMI LAKES, FL, 33016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
