| Entity Name: | BIGBEND PEDIATRIC CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Mar 2010 (15 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Mar 2011 (14 years ago) |
| Document Number: | L10000035081 |
| FEI/EIN Number | 272380905 |
| Address: | BIGBEND PEDIATRIC CARE, LLC, 13131 KINGS LAKE DR. SUITE 101, GIBSONTON, FL, 33534 |
| Mail Address: | 13131 KINGS LAKE DR, GIBSONTON, FL, 33534, US |
| ZIP code: | 33534 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578908968 | 2013-04-30 | 2022-09-13 | 13131 KINGS LAKE DR, SUITE 101, GIBSONTON, FL, 335343959, US | 13131 KINGS LAKE DR, SUITE 101, GIBSONTON, FL, 335343959, US | |||||||||||||||||||||
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| Phone | +1 813-672-6092 |
| Fax | 8136771892 |
Authorized person
| Name | ROLANDO GARCIA |
| Role | OWNER |
| Phone | 8136726092 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110510700 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| GARCIA ROLANDO M | Manager | 13131 KINGS LAKE DR. SUITE 101, GIBSONTON, FL, 33534 |
| GARCIA ELIZABETH M | Manager | 13131 KINGS LAKE DR SUITE 101, GIBSONTON, FL, 33534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-01-07 | BIGBEND PEDIATRIC CARE, LLC, 13131 KINGS LAKE DR. SUITE 101, GIBSONTON, FL 33534 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-05 | BIGBEND PEDIATRIC CARE, LLC, 13131 KINGS LAKE DR. SUITE 101, GIBSONTON, FL 33534 | No data |
| LC AMENDMENT AND NAME CHANGE | 2011-03-07 | BIGBEND PEDIATRIC CARE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
