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TERENCE PEPPARD, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: TERENCE PEPPARD, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TERENCE PEPPARD, 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: 09 Nov 1994 (31 years ago)
Document Number: P94000082395
FEI/EIN Number 650531485

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

Address: TERENCE PEPPARD MDPA, 3663 SOUTH MIAMI AVE., MIAMI, FL, 33133, US
Mail Address: TERENCE PEPPARD MDPA, 4350 N. JEFFERSON AVE., MIAMI BEACH, FL, 33140, US
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992783385 2006-01-05 2023-10-12 4350 N JEFFERSON AVE, MIAMI BEACH, FL, 331402934, US 3663 S MIAMI AVE, KOHLY CENTER AT MERCY, MIAMI, FL, 331334253, US

Contacts

Phone +1 305-652-7134
Fax 3056773126

Authorized person

Name EILEEN FEINERMAN
Role OFFICE MANAGER
Phone 3056527134

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 376722100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2023 650531485 2024-07-08 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2024-07-08
Name of individual signing EILEEN FEINERMAN
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2022 650531485 2023-10-04 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing EILEEN FEINERMAN
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2021 650531485 2022-06-14 TERENCE PEPPARD, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2022-06-14
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2020 650531485 2021-06-09 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2019 650531485 2020-06-08 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2018 650531485 2019-08-12 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2019-08-12
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2017 650531485 2018-09-16 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2018-09-16
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2016 650531485 2017-10-15 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2017-10-15
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2015 650531485 2016-10-05 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2016-10-05
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature
TERENCE PEPPARD, M.D., P.A. PROFIT SHARING PLAN 2014 650531485 2015-09-25 TERENCE PEPPARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3056517239
Plan sponsor’s address 4350 NORTH JEFFERSON AVENUE, MIAMI BEACH, FL, 33140

Signature of

Role Plan administrator
Date 2015-09-25
Name of individual signing TERENCE PEPPARD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
FEINERMAN ELLEEN Agent 4350 NORTH JEFFERSON AVE., MIAMI BEACH, FL, 33140
TERENCE PEPPARD MD President 3663 SOUTH MIAMI AVE., MIAMI, FL, 33133
TERENCE PEPPARD MD Secretary 3663 SOUTH MIAMI AVE., MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2000-03-28 TERENCE PEPPARD MDPA, 3663 SOUTH MIAMI AVE., MIAMI, FL 33133 -
CHANGE OF MAILING ADDRESS 1997-04-10 TERENCE PEPPARD MDPA, 3663 SOUTH MIAMI AVE., MIAMI, FL 33133 -
REGISTERED AGENT NAME CHANGED 1997-04-10 FEINERMAN, ELLEEN -
REGISTERED AGENT ADDRESS CHANGED 1997-04-10 4350 NORTH JEFFERSON AVE., PENTHOUSE, MIAMI BEACH, FL 33140 -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-03
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3618887202 2020-04-27 0455 PPP 3663 S. MIAMI AVENUE, MIAMI, FL, 33133
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 85450
Loan Approval Amount (current) 85450
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19133
Servicing Lender Name United Community Bank
Servicing Lender Address 200 E Camperdown Way, Greenville, SC, 29601
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33133-1900
Project Congressional District FL-27
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17611
Originating Lender Name United Community Bank
Originating Lender Address South Miami, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 86413.69
Forgiveness Paid Date 2021-06-10

Date of last update: 02 May 2025

Sources: Florida Department of State