| Entity Name: | OVIEDO PEDIATRICS, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 May 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Jan 2024 (a year ago) |
| Document Number: | L04000038523 |
| FEI/EIN Number | 562463045 |
| Address: | 2959 ALAFAYA TRAIL, SUITE 101, OVIEDO, FL, 32765 |
| Mail Address: | 2959 ALAFAYA TRAIL, SUITE 101, OVIEDO, FL, 32765 |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619358231 | 2015-06-10 | 2015-06-10 | 2959 ALAFAYA TRL, SUITE 101, OVIEDO, FL, 327659482, US | 2959 ALAFAYA TRL, SUITE 101, OVIEDO, FL, 327659482, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-366-3321 |
| Fax | 4073597616 |
Authorized person
| Name | DR. MARIA L MILLER |
| Role | OWNER |
| Phone | 4073663321 |
Taxonomy
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| License Number | 0056487 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 061944200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILLER MARIA L. M | Agent | 2959 ALAFAYA TRAIL, OVIEDO, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| MILLER MARIA L | Managing Member | 2959 ALAFAYA TRAIL, SUITE 101, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-01-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-11 | MILLER, MARIA L. M.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CANCEL ADM DISS/REV | 2005-11-07 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-11-07 | 2959 ALAFAYA TRAIL, SUITE 101, OVIEDO, FL 32765 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| MERGER | 2004-06-07 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000049253 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-01-11 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
