| Entity Name: | FLORIDA PEDIATRIC CLINIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Oct 2010 (14 years ago) |
| Date of dissolution: | 10 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Jan 2018 (7 years ago) |
| Document Number: | L10000109778 |
| FEI/EIN Number | 273252817 |
| Address: | 945 W Michigan Ave, SUITE 10-C, PENSACOLA, FL, 32505, US |
| Mail Address: | 945 W MICHIGAN AVE, PENSACOLA, FL, 32505, US |
| ZIP code: | 32505 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205225414 | 2015-01-13 | 2015-01-13 | 945 W MICHIGAN AVE STE 10C, PENSACOLA, FL, 325052346, US | 945 W MICHIGAN AVE STE 10C, PENSACOLA, FL, 325052346, US | |||||||||||||||||
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| Phone | +1 850-332-6788 |
Authorized person
| Name | DR. MARIA ELENA RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 8503326788 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME107976 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YOLANDA MAY Y | Agent | 945 W MICHIGAN AVE, PENSACOLA, FL, 32505 |
| Name | Role | Address |
|---|---|---|
| FETKE WILLIAM D | Managing Member | 4509 WATERWHEEL TURN, PENSACOLA, FL, 32514 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-10 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-16 | 945 W Michigan Ave, SUITE 10-C, PENSACOLA, FL 32505 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-29 | 945 W Michigan Ave, SUITE 10-C, PENSACOLA, FL 32505 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-29 | 945 W MICHIGAN AVE, SUITE 10-C, PENSACOLA, FL 32505 | No data |
| REINSTATEMENT | 2011-11-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-11-06 | YOLANDA, MAY Y | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-08 |
| AMENDED ANNUAL REPORT | 2015-08-24 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-01-29 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-02-23 |
| REINSTATEMENT | 2011-11-06 |
| Florida Limited Liability | 2010-10-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
