| Entity Name: | LIGHTHOUSE PEDIATRICS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Oct 2013 (11 years ago) |
| Document Number: | L13000139290 |
| FEI/EIN Number | 46-4546056 |
| Address: | 4475 US Highway 1 S, Suite 100, ST AUGUSTINE, FL, 32086, US |
| Mail Address: | 4475 US Highway 1 S, Suite 100, ST AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043630353 | 2014-04-25 | 2014-04-25 | 100 WHETSTONE PL, SUITE 211, ST AUGUSTINE, FL, 320865774, US | 100 WHETSTONE PL, SUITE 211, ST AUGUSTINE, FL, 320865774, US | |||||||||||||||||||
|
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| Phone | +1 904-342-7648 |
| Fax | 9043428567 |
Authorized person
| Name | VINCENT LUZ |
| Role | OWNER |
| Phone | 9043427648 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME90727 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Luz Vincent | Agent | 4475 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867200 |
| Name | Role | Address |
|---|---|---|
| Luz JESSICA L | Manager | 4475 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867200 |
| Luz Vincent S | Manager | 4475 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867200 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-15 | 4475 US Highway 1 S, Suite 100, ST AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-15 | 4475 US Highway 1 S, Suite 100, ST AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-15 | 4475 US HIGHWAY 1 S, STE 100, SAINT AUGUSTINE, FL 32086-7200 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-23 | Luz, Vincent | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-02-15 |
| AMENDED ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
