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  5. NIVIA E. VAZQUEZ, M.D., P.A.

NIVIA E. VAZQUEZ, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: NIVIA E. VAZQUEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NIVIA E. VAZQUEZ, M.D., 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: 08 Feb 1994 (31 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Feb 1997 (28 years ago)
Document Number: P94000011810
FEI/EIN Number 650465252

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 925 NE 30TH TERRACE, 202, HOMESTEAD, FL, 33033, US
Mail Address: 20043 SW 103RD AVENUE, CUTLER BAY, FL, 33189, US
ZIP code: 33033
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194944611 2007-04-24 2023-04-25 925 NE 30TH TER STE 202, HOMESTEAD, FL, 330337614, US 925 NE 30TH TER, SUITE #202, HOMESTEAD, FL, 330337613, US

Contacts
Phone +1 305-246-1030
Fax 3052462387

Authorized person
Name DR. NIVIA E. VAZQUEZ
Role PRESIDENT
Phone 3052461030

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 266494100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NIVIA E. VAZQUEZ, M.D. P.A. 401K PROFIT SHARING PLAN 2023 650465252 2024-10-10 NIVIA E. VAZQUEZ, M.D. P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. DEFINED BENEFIT PLAN 2023 650465252 2024-10-15 NIVIA E. VAZQUEZ, M.D. P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. DEFINED BENEFIT PLAN 2022 650465252 2023-10-12 NIVIA E. VAZQUEZ, M.D. P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. 401K PROFIT SHARING PLAN 2022 650465252 2023-10-10 NIVIA E. VAZQUEZ, M.D. P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. DEFINED BENEFIT PLAN 2021 650465252 2023-02-15 NIVIA E. VAZQUEZ, M.D. P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. 401K PROFIT SHARING PLAN 2021 650465252 2022-10-17 NIVIA E. VAZQUEZ, M.D. P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. DEFINED BENEFIT PLAN 2020 650465252 2021-10-14 NIVIA E. VAZQUEZ, M.D. P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. 401K PROFIT SHARING PLAN 2020 650465252 2021-10-09 NIVIA E. VAZQUEZ, M.D. P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. DEFINED BENEFIT PLAN 2019 650465252 2020-10-15 NIVIA E. VAZQUEZ, M.D. P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189
NIVIA E. VAZQUEZ, M.D. P.A. 401K PROFIT SHARING PLAN 2019 650465252 2020-10-10 NIVIA E. VAZQUEZ, M.D. P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3052051453
Plan sponsor’s address 20043 SW 103 AVE, CUTLER BAY, FL, 33189

Key Officers & Management

Name Role Address
VAZQUEZ NIVIA E President 20043 SW 103RD AVENUE, CUTLER BAY, FL, 33189
VAZQUEZ NIVIA E Secretary 20043 SW 103RD AVENUE, CUTLER BAY, FL, 33189
VAZQUEZ NIVIA E Director 20043 SW 103RD AVENUE, CUTLER BAY, FL, 33189
VAZQUEZ NIVIA E Agent 20043 SW 103RD AVE, CUTLER BAY, FL, 33189

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08150900117 PORTOFINO PEDIATRICS ASSOCIATES ACTIVE 2008-05-29 2028-12-31 - 925 NE 30TH TER, SUITE 202, HOMESTEAD, FL, 33033

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-01-08 925 NE 30TH TERRACE, 202, HOMESTEAD, FL 33033 -
CHANGE OF MAILING ADDRESS 2010-01-08 925 NE 30TH TERRACE, 202, HOMESTEAD, FL 33033 -
REGISTERED AGENT ADDRESS CHANGED 2010-01-08 20043 SW 103RD AVE, CUTLER BAY, FL 33189 -
REINSTATEMENT 1997-02-10 - -
REGISTERED AGENT NAME CHANGED 1997-02-10 VAZQUEZ, NIVIA EMD -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 - -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-02-25
ANNUAL REPORT 2016-01-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7508317105 2020-04-14 0455 PPP 925 Northeast 30th Terrace 202, HOMESTEAD, FL, 33033
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 159000
Loan Approval Amount (current) 159000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HOMESTEAD, MIAMI-DADE, FL, 33033-0001
Project Congressional District FL-28
Number of Employees 20
NAICS code 624410
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 160179.25
Forgiveness Paid Date 2021-01-28

Companies related by officers

No other companies in our directory share the same officers as NIVIA E. VAZQUEZ, M.D., P.A.

Companies related by address

No other companies in our directory share the same address as NIVIA E. VAZQUEZ, M.D., P.A.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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