| Entity Name: | KIDSTOWN PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KIDSTOWN PEDIATRICS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 10 Apr 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Dec 2004 (20 years ago) |
| Document Number: | L03000013094 |
| FEI/EIN Number |
562341153
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 818 NE 75th Street, Miami, FL, 33138, US |
| Mail Address: | 818 NE 75th Street, Miami, FL, 33138, US |
| ZIP code: | 33138 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730215112 | 2007-02-27 | 2017-10-16 | 7800 SW 87TH AVE, MIAMI, FL, 331733570, US | 211 NE 89TH ST, EL PORTAL, FL, 331383119, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-731-9676 |
| Fax | 9547319747 |
| Phone | +1 305-576-5437 |
| Fax | 3055765120 |
Authorized person
| Name | MARGARET OKONKWO |
| Role | MD |
| Phone | 3055765437 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 74168 |
| State | FL |
| Issuer | MEDICAID |
| Number | 269200700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Okonkwo Margaret I | Manager | 818 NE 75th Street, Miami, FL, 33138 |
| OKONKWO MARGARET | Agent | 818 NE 75th Street, Miami, FL, 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 818 NE 75th Street, Miami, FL 33138 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-29 | 818 NE 75th Street, Miami, FL 33138 | - |
| CHANGE OF MAILING ADDRESS | 2020-04-25 | 818 NE 75th Street, Miami, FL 33138 | - |
| REGISTERED AGENT NAME CHANGED | 2005-04-29 | OKONKWO, MARGARET | - |
| AMENDMENT | 2004-12-29 | - | - |
| AMENDMENT | 2004-09-22 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000484502 | TERMINATED | 1000000327072 | MIAMI-DADE | 2013-02-25 | 2033-02-27 | $ 358.07 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-07-16 |
| ANNUAL REPORT | 2017-05-27 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5758077305 | 2020-04-30 | 0455 | PPP | 211 NE 89th Street,, Miami, FL, 33138 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
