| Entity Name: | PEDIATRIC ASSOCIATES OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jun 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L10000068643 |
| FEI/EIN Number | 272940199 |
| Address: | 151 NW 11TH STREET, SUITE E204, HOMESTEAD, FL, 33030, US |
| Mail Address: | 151 NW 11TH STREET, SUITE E204, HOMESTEAD, FL, 33030, US |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821301896 | 2010-07-20 | 2012-09-06 | 151 NW 11TH ST, SUITE E202, HOMESTEAD, FL, 330304360, US | 151 NW 11TH ST, SUITE E202, HOMESTEAD, FL, 330304360, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-245-3220 |
Authorized person
| Name | MR. GERALD D. JONES |
| Role | CEO |
| Phone | 3052453220 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002673000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1821301896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| The Britt Law Firm PA | Agent | 160 NW 176th Street, MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| Jones Gerald | President | 151 NW 11TH STREET, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-11-03 | 160 NW 176th Street, Suite 202-1, MIAMI, FL 33169 | No data |
| REINSTATEMENT | 2017-11-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-11-03 | 151 NW 11TH STREET, SUITE E204, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2017-11-03 | 151 NW 11TH STREET, SUITE E204, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-03 | The Britt Law Firm PA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2012-10-30 | No data | No data |
| PENDING REINSTATEMENT | 2012-10-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000095562 | LAPSED | 2017-008027-CA-01 | MIAMI DADE CIRCUIT COURT | 2018-02-12 | 2023-03-07 | $23,666.66 | MSO HEALTH SYSTEMS, LLC, C/O 19 WEST FLAGLER STREET, 703, MIAMI, FLORIDA 33130 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-07 |
| REINSTATEMENT | 2017-11-03 |
| AMENDED ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2016-01-28 |
| AMENDED ANNUAL REPORT | 2015-08-07 |
| AMENDED ANNUAL REPORT | 2015-08-05 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-03-28 |
| REINSTATEMENT | 2012-10-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
