| Entity Name: | DUNEDIN PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2014 (11 years ago) |
| Document Number: | L14000044830 |
| FEI/EIN Number | 46-5132440 |
| Address: | 640 Douglas Ave, Dunedin, FL, 34698, US |
| Mail Address: | 640 Douglas Ave, Dunedin, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457761603 | 2014-04-28 | 2021-02-11 | 424 DOUGLAS AVE, DUNEDIN, FL, 346987602, US | 424 DOUGLAS AVE, DUNEDIN, FL, 346987602, US | |||||||||||||||||||||
|
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| Phone | +1 727-734-7337 |
| Fax | 7272163883 |
| Phone | +1 210-913-4881 |
Authorized person
| Name | VIVIAN MARIE HERRERO |
| Role | OWNER/PHYSICIAN |
| Phone | 7277347337 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARQUARDT J. MATTHEW | Agent | 625 COURT STREET, SUITE 200, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| HERRERO VIVIAN DR. | Manager | 640 Douglas Ave, Dunedin, FL, 34698 |
| Herrero Daniel E | Manager | 640 Douglas Ave, Dunedin, FL, 34698 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000125910 | DUNEDIN PEDIATRICS & FAMILY | ACTIVE | 2020-09-28 | 2025-12-31 | No data | 640 DOUGLAS AVE, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-02 | 640 Douglas Ave, Dunedin, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-02 | 640 Douglas Ave, Dunedin, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
