| Entity Name: | MICHAEL PLASENCIA, PSYD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MICHAEL PLASENCIA, PSYD 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: | 22 Aug 2019 (6 years ago) |
| Document Number: | P19000067336 |
| FEI/EIN Number |
84-3018163
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10406 TAFT STREET, PEMBROKE PINES, FL, 33026 |
| Mail Address: | 10406 TAFT STREET, PEMBROKE PINES, FL, 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063050359 | 2019-12-17 | 2019-12-17 | 10406 TAFT ST, PEMBROKE PINES, FL, 330262819, US | 10406 TAFT ST, PEMBROKE PINES, FL, 330262819, US | |||||||||||||||||||||
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| Phone | +1 954-436-3880 |
| Fax | 9544363881 |
Authorized person
| Name | MICHAEL ANTHONY PLASENCIA |
| Role | PRESIDENT |
| Phone | 9545599201 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024003800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PLASENCIA MICHAEL | President | 10406 TAFT STREET, PEMBROKE PINES, FL, 33026 |
| GONZALEZ ODISA | Agent | 6251 NW 110TH TERRACE, HIALEAH, FL, 33012 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| Domestic Profit | 2019-08-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4857347707 | 2020-05-01 | 0455 | PPP | 10406 TAFT STREET, PEMBROKE PINES, FL, 33026 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
