| Entity Name: | LONGWOOD PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2013 (12 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Dec 2015 (9 years ago) |
| Document Number: | L13000086252 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 1400 W State Road 434, LONGWOOD, FL, 32750, US |
| Mail Address: | 1400 W State Road 434, LONGWOOD, FL, 32750, US |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467891531 | 2013-06-21 | 2020-04-24 | 1400 W STATE ROAD 434 STE 1010, LONGWOOD, FL, 327503817, US | 1400 W STATE ROAD 434 STE 1010, LONGWOOD, FL, 32750, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 407-644-9970 |
| Fax | 4076446926 |
Authorized person
| Name | DR. DOLLY UBHRANI |
| Role | MGRM |
| Phone | 4076449970 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LONGWOOD PEDIATRICS 401(K) PLAN | 2023 | 462973476 | 2024-04-29 | LONGWOOD PEDIATRICS LLC | 15 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-29 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7329865117 |
| Plan sponsor’s address | 1400 WEST STATE ROAD 434, SUITE 1010, LONGWOOD, FL, 32750 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Ambwani Jagdish | Agent | 1400 W State Road 434, LONGWOOD, FL, 32750 |
| Name | Role | Address |
|---|---|---|
| Ambwani Jagdish | Authorized Member | 1400 W State Road 434, LONGWOOD, FL, 32750 |
| Ubhrani Dolly | Authorized Member | 1400 W State Road 434, LONGWOOD, FL, 32750 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000147591 | ONEWORLD PEDIATRICS | ACTIVE | 2023-12-05 | 2028-12-31 | No data | 1400 W STATE ROAD 434, SUITE 1010, LONGWOOD, FL, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-02 | Ambwani, Jagdish | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-15 | 1400 W State Road 434, Suite 1010, LONGWOOD, FL 32750 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-15 | 1400 W State Road 434, Suite 1010, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-15 | 1400 W State Road 434, Suite 1010, LONGWOOD, FL 32750 | No data |
| LC AMENDMENT | 2015-12-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-04-24 |
| LC Amendment | 2015-12-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
