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  5. JACKSONVILLE KIDS PEDIATRICS, PLLC

JACKSONVILLE KIDS PEDIATRICS, PLLC - Florida Company Profile

Company Details

Entity Name: JACKSONVILLE KIDS PEDIATRICS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

JACKSONVILLE KIDS PEDIATRICS, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 May 2008 (17 years ago)
Document Number: L08000049116
FEI/EIN Number 262656419

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 32256
Mail Address: 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 32256
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083871404 2008-05-22 2008-05-22 13743 SAXON LAKE DR, JACKSONVILLE, FL, 322252624, US 7807 BAYMEADOWS RD E, SUITE 207, JACKSONVILLE, FL, 322569664, US

Contacts
Phone +1 904-253-3459

Authorized person
Name ALEXANDRA MARY KOSTUR
Role OWNER
Phone 9042533459

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2023 262656419 2024-06-06 JACKSONVILLE KIDS PEDIATRICS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-06
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2022 262656419 2023-10-16 JACKSONVILLE KIDS PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2021 262656419 2022-06-29 JACKSONVILLE KIDS PEDIATRICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-29
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2020 262656419 2021-08-25 JACKSONVILLE KIDS PEDIATRICS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2021-08-25
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2019 262656419 2020-07-08 JACKSONVILLE KIDS PEDIATRICS, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-08
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2018 262656419 2019-07-10 JACKSONVILLE KIDS PEDIATRICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-10
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE KIDS PEDIATRICS 401(K) PLAN 2017 262656419 2018-07-11 JACKSONVILLE KIDS PEDIATRICS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621112
Sponsor’s telephone number 9044469991
Plan sponsor’s address 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL, 322569666

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-11
Name of individual signing ALEXANDRA KOSTUR
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KOSTUR ALEXANDRA MMD Manager 7807 BAYMEADOWS ROAD EAST, JACKSONVILLE, FL, 32256
FRAZIER W. ROBINSON Agent 1515 RIVERSIDE AVE., SUITE A, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-10 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2009-04-10 7807 BAYMEADOWS ROAD EAST, SUITE 207, JACKSONVILLE, FL 32256 -

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5843837106 2020-04-14 0491 PPP 7807 BAYMEADOWS RD #207, JACKSONVILLE, FL, 32256-1822
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 96598.85
Loan Approval Amount (current) 96598.85
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32256-1822
Project Congressional District FL-05
Number of Employees 9
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 97371.64
Forgiveness Paid Date 2021-02-02
9506668303 2021-01-30 0491 PPS 7807 Baymeadows Rd E, Jacksonville, FL, 32256-9664
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 96598
Loan Approval Amount (current) 96598.85
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jacksonville, DUVAL, FL, 32256-9664
Project Congressional District FL-05
Number of Employees 8
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 97114.93
Forgiveness Paid Date 2021-08-17

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Florida Limited Liability Co. (2008 )

FRAZIER W. ROBINSON

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Companies related by address

No other companies in our directory share the same address as JACKSONVILLE KIDS PEDIATRICS, PLLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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