| Entity Name: | COMPASSION PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Feb 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2019 (5 years ago) |
| Document Number: | L13000030975 |
| FEI/EIN Number | 37-1717237 |
| Address: | 4445 S. SEMORAN BLVD, ORLANDO, FL, 32822, US |
| Mail Address: | 4445 S. SEMORAN BLVD, ORLANDO, FL, 32822, US |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | COMPASSION PEDIATRICS LLC, KENTUCKY | 1129796 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194066761 | 2013-03-07 | 2023-10-24 | 4445 S SEMORAN BLVD STE A, ORLANDO, FL, 328222472, US | 4445 S SEMORAN BLVD STE A, ORLANDO, FL, 328222472, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-203-8957 |
| Fax | 4079851904 |
Authorized person
| Name | DR. LESLEY KYLE BOW |
| Role | CEO |
| Phone | 4074564591 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0200X - Pediatric Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 7100715220 |
| State | KY |
| Issuer | MEDICAID |
| Number | 008610700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMPASSION PEDIATRICS 401(K) PROFIT SHARING PLAN | 2019 | 371717237 | 2020-07-17 | COMPASSION PEDIATRICS, LLC | 2 | |||||||||||||
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| COMPASSION PEDIATRICS 401(K) PROFIT SHARING PLAN | 2018 | 371717237 | 2019-04-02 | COMPASSION PEDIATRICS, LLC | 1 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| BOW L. KYLE M | Agent | 732 Wilkinson St, ORLANDO, FL, 32803 |
| Name | Role |
|---|---|
| COMPASSION HOLDINGS, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-07 | BOW, L. KYLE MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-07 | 732 Wilkinson St, ORLANDO, FL 32803 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-28 | 4445 S. SEMORAN BLVD, Suite A and C, ORLANDO, FL 32822 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-28 | 4445 S. SEMORAN BLVD, Suite A and C, ORLANDO, FL 32822 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-13 |
| REINSTATEMENT | 2019-10-07 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
