| Entity Name: | PRIME PEDIATRIC ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIME PEDIATRIC ASSOCIATES, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Jul 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L11000087116 |
| FEI/EIN Number |
452875695
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 100 EAST SAMPLE ROAD, STE 120, POMPANO BEACH, FL, 33064 |
| Mail Address: | 100 EAST SAMPLE ROAD, STE 120, POMPANO BEACH, FL, 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023368164 | 2012-09-17 | 2012-09-17 | 100 E SAMPLE RD, STE 120, POMPANO BEACH, FL, 330643554, US | 100 E SAMPLE RD, STE 120, POMPANO BEACH, FL, 330643554, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-941-2021 |
| Fax | 9549412071 |
Authorized person
| Name | DIBANNI VASQUEZ |
| Role | MGRM |
| Phone | 3059721073 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME109534 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIVACO PEDIATRICS P.A. | Managing Member | - |
| VASQUEZ DIBANNI M | Agent | 6432 SW 22ND CT, MIRAMAR, FL, 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| LC AMENDMENT | 2012-01-31 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-10 |
| LC Amendment | 2012-01-31 |
| Florida Limited Liability | 2011-07-29 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
