| Entity Name: | HOUSE CALL PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Dec 2013 (11 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000169347 |
| Address: | 625 W BALDWIN ROAD, UNIT B, PANAMA CITY, FL, 32444 |
| Mail Address: | 625 W BALDWIN ROAD, UNIT B, PANAMA CITY, FL, 32444 |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447681804 | 2013-12-10 | 2013-12-10 | 625 W BALDWIN RD STE B, PANAMA CITY, FL, 324053359, US | 625 W BALDWIN RD STE B, PANAMA CITY, FL, 324053359, US | |||||||||||||||||||||||||
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| Phone | +1 850-628-9240 |
| Fax | 8505225925 |
Authorized person
| Name | RUBINA AZAM |
| Role | OWNER |
| Phone | 8506289240 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME91470 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 270961900 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| AZAM RUBINA | Managing Member | 625 W BALDWIN ROAD UNIT B, PANAMA CITY, FL, 32444 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000025676 | VIPKIDZ | EXPIRED | 2014-03-12 | 2019-12-31 | No data | PO BOX 1575, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-12-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
