| Entity Name: | FORT MYERS PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Feb 2010 (15 years ago) |
| Document Number: | L10000018204 |
| FEI/EIN Number | 271912946 |
| Address: | 5285 SUMMERLIN RD,, FORT MYERS, FL, 33919, US |
| Mail Address: | 980 Bal Isle Drive, FORT MYERS, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972823409 | 2010-06-07 | 2021-04-13 | 13770 PLANTATION RD STE 1, FORT MYERS, FL, 339124460, US | 13770 PLANTATION RD STE 1, FORT MYERS, FL, 339124460, US | |||||||||||||||
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| Phone | +1 239-689-5561 |
| Fax | 2396895958 |
Authorized person
| Name | ROLANDO T OTERO |
| Role | GENERAL MANAGER |
| Phone | 2398486445 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Otero Roland T | Agent | 980 Bal Isle Drive, Fort Myers, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| OTERO ROLANDO T | Managing Member | 980 BAL ISLE DRIVE, FORT MYERS, FL, 33919 |
| Fraga Olga V | Managing Member | 980 Bal Isle Drive, Fort Myers, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-02-21 | 5285 SUMMERLIN RD,, SUITE 101, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-21 | 980 Bal Isle Drive, Fort Myers, FL 33919 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-06 | 5285 SUMMERLIN RD,, SUITE 101, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-24 | Otero, Roland T | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-03-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9190398504 | 2021-03-12 | 0455 | PPS | 5285 Summerlin Rd, Fort Myers, FL, 33919-7601 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9855828007 | 2020-07-08 | 0455 | PPP | 5285 SUMMERLIN RD, FORT MYERS, FL, 33919 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
