| Entity Name: | EDELSTEIN PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Mar 2014 (11 years ago) |
| Document Number: | L14000047602 |
| FEI/EIN Number | 54-2129332 |
| Mail Address: | 3225 AVIATION AVENUE, SUITE 700, MIAMI, FL, 33133, US |
| Address: | 6045 HAGEN RANCH RD, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063566438 | 2007-01-23 | 2020-08-22 | 5820 JOG RD, LAKE WORTH, FL, 334676511, US | 5820 JOG RD, LAKE WORTH, FL, 334676511, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-357-8993 |
Authorized person
| Name | DR. LEE EDELSTEIN |
| Role | OWNER |
| Phone | 5613578993 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YELEN MITCH | Agent | 3444 Main HWY., Miami, FL, 33133 |
| Name | Role |
|---|---|
| VITALMD GROUP HOLDING, LLC | Auth |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-25 | 3444 Main HWY., 2nd Floor, Miami, FL 33133 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-16 | 6045 HAGEN RANCH RD, SUITE 4, LAKE WORTH, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
