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ABRAKIDABRA PEDIATRIC CLINIC LLC - Florida Company Profile

Company Details

Entity Name: ABRAKIDABRA PEDIATRIC CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ABRAKIDABRA PEDIATRIC CLINIC LLC 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: 04 May 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Oct 2019 (5 years ago)
Document Number: L11000054428
FEI/EIN Number 900722173

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 8391 OMAHA CIRCLE, SPRING HILL, FL, 34606, US
Mail Address: 8391 OMAHA CIRCLE, SPRING HILL, FL, 34606, US
ZIP code: 34606
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366699944 2008-08-26 2024-04-04 8391 OMAHA CIR, SPRING HILL, FL, 346065157, US 8391 OMAHA CIR, SPRING HILL, FL, 346065157, US

Contacts

Phone +1 352-688-8818
Fax 8774875705

Authorized person

Name MRS. HEATHER RIDDLE
Role PRESIDENT
Phone 3526888818

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number 9175935
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 002184400
State FL
Issuer MEDICAID
Number 306155800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ABRAKIDABRA PEDIATRIC CLINIC LLC 401K PLAN 2016 900722173 2017-10-20 ABRAKIDABRA PEDIATRIC CLINIC LLC 20
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3526783100
Plan sponsor’s address 1198 MARINER BLVD, SPRING HILL, FL, 34609

Signature of

Role Plan administrator
Date 2017-10-20
Name of individual signing MARY REYNOLDS
Valid signature Filed with authorized/valid electronic signature
ABRAKIDABRA PEDIATRIC CLINIC LLC 401K PLAN 2016 900722173 2017-10-25 ABRAKIDABRA PEDIATRIC CLINIC LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3526783100
Plan sponsor’s address 1198 MARINER BLVD, SPRING HILL, FL, 34609

Signature of

Role Plan administrator
Date 2017-10-25
Name of individual signing MARY REYNOLDS
Valid signature Filed with authorized/valid electronic signature
ABRAKIDABRA PEDIATRIC CLINIC LLC 401K PLAN 2015 900722173 2016-06-01 ABRAKIDABRA PEDIATRIC CLINIC LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3526783100
Plan sponsor’s address 1198 MARINER BLVD, SPRING HILL, FL, 34609

Signature of

Role Plan administrator
Date 2016-06-01
Name of individual signing MARY REYNOLDS
Valid signature Filed with authorized/valid electronic signature
ABRAKIDABRA PEDIATRIC CLINIC LLC 401K PLAN 2014 900722173 2016-01-19 ABRAKIDABRA PEDIATRIC CLINIC LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3526783100
Plan sponsor’s address 1198 MARINER BLVD, SPRING HILL, FL, 34609

Signature of

Role Plan administrator
Date 2016-01-19
Name of individual signing MARY REYNOLDS
Valid signature Filed with authorized/valid electronic signature
ABRAKIDABRA PEDIATRIC CLINIC LLC 401K PLAN 2013 900722173 2014-07-30 ABRAKIDABRA PEDIATRIC CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3526783100
Plan sponsor’s address 1198 MARINER BLVD, SPRING HILL, FL, 34609

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing MARY MARY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RIDDLE HEATHER A Managing Member 8391 OMAHA CIRCLE, SPRING HILL, FL, 34606
REGISTERED AGENT SERVICES CO. Agent -

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-01-10 3211 Vineland Rd, Suite 174, Kissimmee, FL 34746 -
REGISTERED AGENT NAME CHANGED 2024-01-10 Registered Agent Services Co. -
CHANGE OF MAILING ADDRESS 2023-01-25 8391 OMAHA CIRCLE, SPRING HILL, FL 34606 -
CHANGE OF PRINCIPAL ADDRESS 2023-01-25 8391 OMAHA CIRCLE, SPRING HILL, FL 34606 -
REINSTATEMENT 2019-10-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REINSTATEMENT 2018-11-27 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2017-12-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-06-10
REINSTATEMENT 2019-10-17
REINSTATEMENT 2018-11-27
REINSTATEMENT 2017-12-04
ANNUAL REPORT 2016-02-12
ANNUAL REPORT 2015-03-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7856007810 2020-06-04 0491 PPP 1198 MARINER BLVD, SPRING HILL, FL, 34609-5603
Loan Status Date 2021-06-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61206
Loan Approval Amount (current) 61206
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SPRING HILL, HERNANDO, FL, 34609-5603
Project Congressional District FL-12
Number of Employees 15
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 61787.88
Forgiveness Paid Date 2021-05-18

Date of last update: 03 Mar 2025

Sources: Florida Department of State