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. |
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 |
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 | |||||||||||||||||||||||||||||||
|
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 |
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 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2017-10-20 |
Name of individual signing | MARY REYNOLDS |
Valid signature | Filed with authorized/valid electronic signature |
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 |
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 |
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 |
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 |
Name | Role | Address |
---|---|---|
RIDDLE HEATHER A | Managing Member | 8391 OMAHA CIRCLE, SPRING HILL, FL, 34606 |
REGISTERED AGENT SERVICES CO. | Agent | - |
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 | - | - |
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 |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Date of last update: 03 Mar 2025
Sources: Florida Department of State