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FLORIDA PEDIATRIC GASTROENTEROLOGY GROUP, P.L.

Company Details

Entity Name: FLORIDA PEDIATRIC GASTROENTEROLOGY GROUP, P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Oct 2006 (18 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L06000104208
FEI/EIN Number 208185493
Address: 9980 Central Park Blvd N, Boca Raton, FL, 33428, US
Mail Address: 9980 Central Pk Blvd North, STE 202, Boca Raton, FL, 33428, US
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679604904 2007-03-08 2020-08-22 9980 N. CENTRAL PARK BLVD., SUITE 202, BOCA RATON, FL, 33428, US 9980 N. CENTRAL PARK BLVD., SUITE 202, BOCA RATON, FL, 33428, US

Contacts

Phone +1 561-482-7038

Authorized person

Name DR. LUIS OLIVA
Role FOUNDING MEMBER
Phone 5614822092

Taxonomy

Taxonomy Code 2080P0206X - Pediatric Gastroenterology Physician
Is Primary Yes

Agent

Name Role Address
OLIVA LUIS Agent 9980 N. CENTRAL PARK BLVD., SUITE 202, BOCA RATON, FL, 33428

Manager

Name Role Address
FLORES JOSE M Manager 5800 COLONIAL DR STE 405, MARGATE, FL, 33063
OLIVA LUIS Manager 9980 N CENTRAL PARK BLVD STE 202, BOCA RATON, FL, 33428

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF MAILING ADDRESS 2021-04-26 9980 Central Park Blvd N, STE 202, Boca Raton, FL 33428 No data
CHANGE OF PRINCIPAL ADDRESS 2020-04-27 9980 Central Park Blvd N, STE 202, Boca Raton, FL 33428 No data
LC AMENDMENT 2020-01-27 No data No data
REGISTERED AGENT NAME CHANGED 2007-06-04 OLIVA, LUIS No data
REGISTERED AGENT ADDRESS CHANGED 2007-06-04 9980 N. CENTRAL PARK BLVD., SUITE 202, BOCA RATON, FL 33428 No data

Documents

Name Date
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-04-27
LC Amendment 2020-01-27
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-04-23
ANNUAL REPORT 2016-04-24
ANNUAL REPORT 2015-04-24
ANNUAL REPORT 2014-04-27
ANNUAL REPORT 2013-04-20

Date of last update: 03 Jan 2025

Sources: Florida Department of State