| Entity Name: | SUNSHINE PEDIATRICS OF CENTRAL FLORIDA, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 May 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Sep 2024 (6 months ago) |
| Document Number: | L06000053768 |
| FEI/EIN Number | 204965420 |
| Address: | 210 LOOKOUT PLACE, MAITLAND, FL, 32751, US |
| Mail Address: | 210 LOOKOUT PLACE, MAITLAND, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962411744 | 2006-08-07 | 2024-09-03 | 210 LOOKOUT PL, MAITLAND, FL, 327514491, US | 210 LOOKOUT PL, MAITLAND, FL, 327514491, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-215-0400 |
| Fax | 4072150402 |
Authorized person
| Name | DR. RICHARD G RODRIGUEZ |
| Role | OWNER |
| Phone | 4072150400 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME60714 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 055953900 |
| State | FL |
| Issuer | UHC MEDICAID |
| Number | 1206414 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ RICHARD Dr. | Agent | 202 LOOKOUT PLACE, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ RICHARD D | Managing Member | 210 LOOKOUT PLACE, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| Sloane Amanda | Prac | 210 LOOKOUT PLACE, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-09-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-23 | RODRIGUEZ , RICHARD, Dr. | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-06 | 210 LOOKOUT PLACE, MAITLAND, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| REINSTATEMENT | 2024-09-03 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8934787103 | 2020-04-15 | 0491 | PPP | 210 Lookout Place, MAITLAND, FL, 32751 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5468368307 | 2021-01-25 | 0491 | PPS | 210 Lookout Pl, Maitland, FL, 32751-4491 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
