| Entity Name: | FUTURE PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 May 2005 (20 years ago) |
| Date of dissolution: | 22 Feb 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Feb 2023 (2 years ago) |
| Document Number: | L05000045327 |
| FEI/EIN Number | 202798639 |
| Address: | 4209 Northshore Islands Rd, PANAMA CITY, FL, 32405, US |
| Mail Address: | PO BOX 1430, LYNN HAVEN, FL, 32444, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144468224 | 2009-01-28 | 2015-08-31 | PO BOX 1430, LYNN HAVEN, FL, 324446230, US | 292 FOREST PARK CIR, PANAMA CITY, FL, 324054921, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-767-4777 |
| Fax | 8507634988 |
Authorized person
| Name | DR. AHMED ABOBAKER MOHAMED |
| Role | PRESIDENT |
| Phone | 8507674777 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME92242 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000261000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 272366200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOHAMED AHMED A | Agent | 4209 NORTHSHORE ISLANDS RD, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| AHMED ABO BAKER MOHAMED | Managing Member | PO BOX 1430, LYNN HAVEN, FL, 32444 |
| MONA HOSAM ISMAIL | Managing Member | 4209 NORTSHORE ISLANDS RD, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-02-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-14 | 4209 Northshore Islands Rd, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-09-19 | 4209 NORTHSHORE ISLANDS RD, PANAMA CITY, FL 32405 | No data |
| PENDING REINSTATEMENT | 2010-09-07 | No data | No data |
| REINSTATEMENT | 2010-09-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-09-05 | 4209 Northshore Islands Rd, PANAMA CITY, FL 32405 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| LC AMENDMENT | 2006-01-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-01-06 | MOHAMED, AHMED ABAKER | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-02-22 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-03-24 |
| AMENDED ANNUAL REPORT | 2016-09-19 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
