| Entity Name: | HOLISTIC PEDIATRICS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Aug 2007 (18 years ago) |
| Document Number: | L07000081500 |
| FEI/EIN Number | 260697342 |
| Address: | 2906 W TAMPA BAY BLVD, TAMPA, FL, 33607, US |
| Mail Address: | 2906 W TAMPA BAY BLVD, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437339231 | 2007-11-08 | 2007-11-08 | 2906 W TAMPA BAY BLVD, TAMPA, FL, 336071233, US | 2906 W TAMPA BAY BLVD, TAMPA, FL, 336071233, US | |||||||||||||||||||
|
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| Phone | +1 813-879-1985 |
| Fax | 8138760336 |
Authorized person
| Name | DR. AVILIO MUNOZ |
| Role | MEDICAL DIRECTOR |
| Phone | 8138791985 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME95639 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LONGHOUSE, RICHARDS, OLSEN & RIEF, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| REGUSH NICOLE S | Managing Member | 2906 W TAMPA BAY BLVD, TAMPA, FL, 33607 |
| MUNOZ AVILIO E | Managing Member | 2906 W TAMPA BAY BLVD, TAMPA, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07362900136 | AVILIO E. MUNOZ MD | ACTIVE | 2007-12-28 | 2027-12-31 | No data | 2906 WEST TAMPA BAY BLVD., TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-19 | Longhouse Richards Olsen & Rief PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-09 | 2906 W TAMPA BAY BLVD, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-09 | 2906 W TAMPA BAY BLVD, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
