| Entity Name: | PRINCIPAL PEDIATRIC GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 14 Jan 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000008603 |
| Address: | 844 NORTH THORNTON AVENUE, ORLANDO, FL 32803 |
| Mail Address: | PO BOX 533374, ORLANDO, FL 32853 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245621127 | 2015-02-12 | 2015-02-12 | 844 N THORNTON AVE, ORLANDO, FL, 328034003, US | 5900 S JOHN YOUNG PKWY, ORLANDO, FL, 328393716, US | |||||||||||||||||||||
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| Phone | +1 407-894-8768 |
| Fax | 4078946872 |
| Phone | +1 407-398-6470 |
Authorized person
| Name | DR. AYODEJI B OTEGBEYE |
| Role | PRESIDENT |
| Phone | 4078948768 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME58278 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DESAI, VIVEK S | Agent | 844 NORTH THORNTON AVENUE, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| DESAI, VIVEK S | Manager | 844 NORTH THORNTON AVENUE, ORLANDO, FL 32803 |
| SOREMI, OLUDAPO F | Manager | 844 NORTH THORNTON AVENUE, ORLANDO, FL 32803 |
| OTEGBEYE, AYODEJI B | Manager | 844 NORTH THORNTON AVENUE, ORLANDO, FL 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-01-14 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
