| Entity Name: | BALDWIN PEDIATRIX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Dec 2007 (17 years ago) |
| Date of dissolution: | 28 Jan 2008 (17 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 28 Jan 2008 (17 years ago) |
| Document Number: | L07000126169 |
| Address: | 2401 STANFORD ROAD, UNIT 1413, PANAMA CITY, FL, 32405 |
| Mail Address: | 2401 STANFORD ROAD, UNIT 1413, PANAMA CITY, FL, 32405 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487971842 | 2010-04-26 | 2022-09-08 | PO BOX 15775, PANAMA CITY, FL, 324065775, US | 2550 JENKS AVE, PANAMA CITY, FL, 324054310, US | |||||||||||||||
|
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| Phone | +1 850-522-1522 |
| Fax | 8505225925 |
Authorized person
| Name | RUBINA AZAM |
| Role | PHYSICIAN/OWNER |
| Phone | 8505221522 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| AZAM RUBINA | Managing Member | 2401 STANFORD ROAD, UNIT 1413, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2008-01-28 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS P08000009886. CONVERSION NUMBER 300000072103 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2007-12-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
