| Entity Name: | POMPANO ER PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Feb 2004 (21 years ago) |
| Date of dissolution: | 31 Jan 2011 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Jan 2011 (14 years ago) |
| Document Number: | L04000009294 |
| FEI/EIN Number | 200685912 |
| Address: | 3114 CROASDAILE DR, SUITE 200, DURHAM, NC, 27705 |
| Mail Address: | 3114 CROASDAILE DR, SUITE 200, DURHAM, NC, 27705 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669475349 | 2005-05-24 | 2009-05-27 | 3114 CROASDAILE DR STE 200, POMPANO ER PEDIATRICS LLC, DURHAM, NC, 277052508, US | 201 E SAMPLE RD, POMPANO ER PEDIATRICS, POMPANO BEACH, FL, 330643502, US | |||||||||||||||||||||||||||
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| Phone | +1 919-425-1565 |
| Fax | 9194250478 |
| Phone | +1 954-768-6800 |
Authorized person
| Name | DR. STEVEN M SCOTT |
| Role | PRESIDENT CEO |
| Phone | 9194251565 |
Taxonomy
| Taxonomy Code | 2080P0204X - Pediatric Emergency Medicine (Pediatrics) Physician |
| License Number | ME39895 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269936200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCOTT CHASE M | Secretary | 3114 CROASDAILE DR, DURHAM, NC, 27705 |
| Name | Role | Address |
|---|---|---|
| SCOTT STEVEN R | Manager | 3114 CROASDAILE DRIVE, DURHAM, NC, 27705 |
| Name | Role | Address |
|---|---|---|
| SCOTT STEVEN R | President | 3114 CROASDAILE DRIVE, DURHAM, NC, 27705 |
| Name | Role | Address |
|---|---|---|
| LONG DAVID | Vice President | 3114 CROASDAILE DRIVE, DURHAM, NC, 27705 |
| Name | Role | Address |
|---|---|---|
| GREENMAN JACK S | Treasurer | 3114 CROASDAILE DRIVE, DURHAM, NC, 27705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2011-01-31 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-15 | 3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-15 | 3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2011-01-31 |
| ANNUAL REPORT | 2010-02-15 |
| ANNUAL REPORT | 2009-01-15 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-03-16 |
| ANNUAL REPORT | 2006-03-01 |
| ANNUAL REPORT | 2005-02-17 |
| Florida Limited Liabilites | 2004-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
